Application for Change of Permanent Plan (Medical)

Application for Change of Permanent Plan (Medical) (VA Form 29-1549)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0179 can be found here:

Documents and Forms

Document Name Document Type
Form 29-1549 Application for Change of Permanent Plan (Medical) Form
29-1549 Application for Change of Permanent Plan (Medical) VA Form 29-1549 (508 Conformant 10-26-17).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application for Change of Permanent Plan (Medical)	Agency IC Tracking Number:	2900-0179

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 8.36 38 CFR 6.48

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	29-1549	Application for Change of Permanent Plan (Medical)	VA Form 29-1549 (508 Conformant 10-26-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	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.