Mandatory Verification of Dependents (VA Form 21-0538)

ICR 202009-2900-001

OMB: 2900-0500

Federal Form Document

Forms and Documents
IC Document Collections
IC ID
Document
Title
Status
28684 Modified
ICR Details
2900-0500 202009-2900-001
Active 201709-2900-009
VA VBA-COMP-MS
Mandatory Verification of Dependents (VA Form 21-0538)
Revision of a currently approved collection   No
Emergency 09/15/2020
Approved without change 09/09/2020
Retrieve Notice of Action (NOA) 09/02/2020
  Inventory as of this Action Requested Previously Approved
12/31/2020 6 Months From Approved 12/31/2020
540,000 0 84,500
90,000 0 14,083
1,349,968 0 211,245

VA Form 21-0538 is used to gather information from veterans about the status of dependents for whom additional compensation is being paid. Without this collection of information, VA would not be able to determine continued eligibility for an additional allowance for dependents.
(1) Veteran Ability to submit Claims Impacted Due to COVID-19. Local travel restrictions and COVID-19 mandated health & safety precautions may impact Veterans' and claimants' abilities to file forms, documents, and other responses in connection with VA Claims & Appeals. (2) Veterans Benefits Administration (VBA) anticipates a potential increase in the submission of claims during and after the state of emergency for COVID-19. To address the effects of COVID-19 on claims processing for Veterans and claimants and to provide better, faster, and more efficient services, VBA proposes to align our modernization efforts with the way we currently receive certain types of veteran/claimant information. As such, VBA has identified the need to revise VA Form 21-0538, Mandatory Verification of Dependents, so we may minimize the potential overpayments that result from the receipt of this form, which could lead to extraneous hardships on our Veterans and claimants. The revision of this form supports the existing automation process, by providing faster and more efficient delivery of service to Veterans and claimants in response to the anticipated increase in claims related submissions that were affected by the COVID-19 pandemic. (3) The revision will also enable VBA to process Veteran data faster due to the use of computerized Optical Character Recognition (OCR) which is the automated process to "read" forms for information upload into VBA systems.

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

Not associated with rulemaking

No

1
IC Title Form No. Form Name
Mandatory Verification of Dependents (VA Form 21-0538) 21-0538 Mandatory Verification of Dependents

  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 540,000 84,500 0 455,500 0 0
Annual Time Burden (Hours) 90,000 14,083 0 75,917 0 0
Annual Cost Burden (Dollars) 1,349,968 211,245 0 1,138,723 0 0
Yes
Miscellaneous Actions
No
Number of respondents has increased due to the amount of forms sent to veterans through batch process to help cut possible overpayments that may occur.

$12,014,730
No
    Yes
    Yes
No
No
No
Yes
Danny Green 202 421-1354 danny.green2@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.
09/02/2020


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