Application for Annual Clothing Allowance Under 38 U.S.C. 1162

ICR 201605-2900-005

OMB: 2900-0198

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0198 201605-2900-005
Historical Active 201502-2900-005
VA 2900-0198
Application for Annual Clothing Allowance Under 38 U.S.C. 1162
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 06/27/2017
Retrieve Notice of Action (NOA) 04/24/2017
  Inventory as of this Action Requested Previously Approved
05/31/2018 05/31/2018 05/31/2018
6,720 0 6,720
1,120 0 1,120
0 0 0

Information is requested to determine eligibility to receive a clothing allowance because 1) a prosthetic or orthopedic appliance (including a wheelchair) tends to wear out or tear clothing or 2) a prescribed medication causes irreparable damage to the outer garments.

US Code: 38 USC Part IV, Chpt. 57, Section 57 Name of Law: Confidential Nature of Claims
   US Code: 38 USC Part V, Chpt. 73, Section 7332 Name of Law: Confidentiality of Certain Medical Records
   PL: Pub.L. 107 - 247 2 Name of Law: Veterans Compensation Cost of Living Adjustment Act of 2002
   US Code: 38 USC Section 1162 Name of Law: Clothing Allowance
  
None

Not associated with rulemaking

  78 FR 68509 11/17/2014
80 FR 4334 01/27/2015
No

1
IC Title Form No. Form Name
Application for Annual Clothing Allowance Under 38 U.S.C. 1162 VA Form 10-8678 Application for Annual Clothing Allowance Under Title 38 U.S.C. 1162

  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 6,720 6,720 0 0 0 0
Annual Time Burden (Hours) 1,120 1,120 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$248,747
No
No
No
No
No
Uncollected
Cynthia Harvey - Pryor 202 461-5870 cynthia.harvey-pryor@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.
04/24/2017


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