Suspension of Monthly Check (VA Form 29-0759)

ICR 201802-2900-004

OMB: 2900-0635

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2018-06-19
Supporting Statement A
2018-02-27
Supplementary Document
2018-02-27
IC Document Collections
IC ID
Document
Title
Status
28908 Modified
ICR Details
2900-0635 201802-2900-004
Active 201403-2900-006
VA VBA-INS-NK
Suspension of Monthly Check (VA Form 29-0759)
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 11/28/2018
Retrieve Notice of Action (NOA) 10/16/2018
  Inventory as of this Action Requested Previously Approved
11/30/2021 36 Months From Approved
500 0 0
83 0 0
0 0 0

VA Form 29-0759 is used by the VA to notify the beneficiary of suspension of a monthly check. The information is required by law, 38 U.S.C. 1917.

US Code: 38 USC 1917 Name of Law: Insurance Maturing on or After August 1, 1946
  
None

Not associated with rulemaking

  83 FR 3909 02/27/2018
83 FR 12725 06/14/2018
Yes

1
IC Title Form No. Form Name
Suspension of Monthly Check (VA Form 29-0759) VA Form 29-0759 Suspension of Monthly Check

  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 500 0 0 -700 0 1,200
Annual Time Burden (Hours) 83 0 0 -117 0 200
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The respondent burden has decreased because fewer forms are being returned by veterans.

$5,321
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.
10/16/2018


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