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Fiduciary Statement in Support of Appointment (21P-0792)
Fiduciary Statement in Support of Appointment (21P-0792)
OMB: 2900-0670
IC ID: 28948
OMB.report
VA
OMB 2900-0670
ICR 201704-2900-001
IC 28948
( )
Documents and Forms
Document Name
Document Type
Form 21P-792
Fiduciary Statement in Support of Appointment (21P-0792)
Form
21P-792 Fiduciary Statement in Support of Appointment
VA 21P-0792 (508 Conformant 5-18-17).pdf
www.va.gov/vaforms
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Fiduciary Statement in Support of Appointment (21P-0792)
Agency IC Tracking Number:
2900-0670 VBA-P&F-YM
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
21P-792
Fiduciary Statement in Support of Appointment
VA 21P-0792 (508 Conformant 5-18-17).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
43,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
43,000
0
0
35,500
0
7,500
Annual IC Time Burden (Hours)
10,750
0
0
8,875
0
1,875
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
