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Veteran's Supplemental Claim Application (VA Form 21-526b)
Veteran's Supplemental Claim Application (VA Form 21-526b)
OMB: 2900-0001
IC ID: 28062
OMB.report
VA
OMB 2900-0001
ICR 201712-2900-005
IC 28062
( )
Documents and Forms
Document Name
Document Type
Form VA Form 21-526b
Veteran's Supplemental Claim Application (VA Form 21-526b)
Form
VA Form 21-526b Veterans Supplemental Claim Application
21-526b(IAI-4-18).pdf
www.va.gov/vaforms
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Veteran's Supplemental Claim Application (VA Form 21-526b)
Agency IC Tracking Number:
2900-0001
Is this a Common Form?
Yes
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
VA Form 21-526b
Veterans Supplemental Claim Application
21-526b(IAI-4-18).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:
217,178
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
217,178
0
-216,255
0
433,433
0
Annual IC Time Burden (Hours)
54,295
0
-94,887
0
149,182
0
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.
