Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788)

ICR 201408-2900-006

OMB: 2900-0666

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0666 201408-2900-006
Historical Active 201406-2900-024
VA 2900-0666 VBA-COMP-NK
Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788)
Revision of a currently approved collection   No
Regular
Approved without change 11/19/2014
Retrieve Notice of Action (NOA) 08/29/2014
  Inventory as of this Action Requested Previously Approved
11/30/2017 36 Months From Approved 11/30/2014
25,000 0 25,000
12,500 0 12,500
0 0 0

VA Form 21-0788 is used to gather information, from veterans and claimants, necessary to determine whether benefits may be apportioned to the veteran's spouse, child, or dependent parent, and, if so, the amount that may be reasonably apportioned.

US Code: 38 USC 5307 Name of Law: Apportionment of benefits
  
None

Not associated with rulemaking

  79 FR 11 01/16/2014
79 FR 113 06/12/2014
No

1
IC Title Form No. Form Name
Information Regarding Apportionment of Beneficiary's Award VA Form 21-0788 Information Regarding Apportionment of Beneficiary's Award

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 25,000 25,000 0 0 0 0
Annual Time Burden (Hours) 12,500 12,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,130,425
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 crystal.rennie@va.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/29/2014


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