Mandatory Verification of Dependents (VA Form 21-0538)

ICR 202009-2900-017

OMB: 2900-0500

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2020-12-30
Supplementary Document
2020-11-03
Supporting Statement A
2020-12-17
IC Document Collections
IC ID
Document
Title
Status
28684 Modified
ICR Details
2900-0500 202009-2900-017
Received in OIRA 202009-2900-001
VA VBA-COMP-MS
Mandatory Verification of Dependents (VA Form 21-0538)
Revision of a currently approved collection   No
Regular 12/30/2020
  Requested Previously Approved
36 Months From Approved 01/31/2021
175,400 540,000
29,233 90,000
438,490 1,349,968

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.

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

Not associated with rulemaking

  85 FR 63661 10/08/2020
85 FR 84119 12/23/2020
No

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

  Total Request 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 175,400 540,000 0 -364,600 0 0
Annual Time Burden (Hours) 29,233 90,000 0 -60,767 0 0
Annual Cost Burden (Dollars) 438,490 1,349,968 0 -911,478 0 0
No
Yes
Miscellaneous Actions
The burden estimate has decreased due to the restructured batch print cycle time period changing to eight years.

$3,902,562
No
    Yes
    Yes
No
No
No
No
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.
12/30/2020


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