Decision Ready Claim (DRC) Exam Review (VA Form 21-0985)

ICR 201709-2900-028

OMB: 2900-0857

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0857 201709-2900-028
Historical Active
VA VBA-COMP-NK
Decision Ready Claim (DRC) Exam Review (VA Form 21-0985)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/13/2017
Retrieve Notice of Action (NOA) 11/07/2017
  Inventory as of this Action Requested Previously Approved
12/31/2020 36 Months From Approved
10,000 0 0
2,500 0 0
0 0 0

VA Form 21-0985 will be used to identify the condition(s) that a veteran would like VA to schedule a contract examination for in support of his/her Decision Ready Claim. This data collection is new.

US Code: 38 USC Section 501 Name of Law: Rules and Regulations
  
None

Not associated with rulemaking

  82 FR 34748 07/26/2017
82 FR 21432 10/05/2017
Yes

1
IC Title Form No. Form Name
Decision Ready Review (DRC) Exam Request (VA Form 21-0985) VA Form 21-0985 Decision Ready Claim (DRC) Exam Request

  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 10,000 0 0 10,000 0 0
Annual Time Burden (Hours) 2,500 0 0 2,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This data collection is new.

$66,868
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.
11/07/2017


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