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

ICR 201709-2900-027

OMB: 2900-0666

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0666 201709-2900-027
Active 201408-2900-006
VA VBA-COMP-NK
Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788)
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 03/28/2018
Retrieve Notice of Action (NOA) 01/24/2018
  Inventory as of this Action Requested Previously Approved
03/31/2021 36 Months From Approved
25,000 0 0
12,500 0 0
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. This request is to extend the expiration date another three years.

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

Not associated with rulemaking

  82 FR 46614 10/05/2017
82 FR 58481 12/12/2017
No

1
IC Title Form No. Form Name
Information Regarding Apportionment of Beneficiary's Award 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 0 0 0 0 25,000
Annual Time Burden (Hours) 12,500 0 0 0 0 12,500
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,372,583
No
    Yes
    Yes
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.
01/24/2018


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