Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788)

ICR 202009-2900-019

OMB: 2900-0666

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0666 202009-2900-019
Received in OIRA 201709-2900-027
VA VBA-COMP-YA
Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788)
Reinstatement without change of a previously approved collection   No
Regular 05/24/2021
  Requested Previously Approved
36 Months From Approved
3,211 0
1,606 0
0 0

VA Form 21-0788 is used to collect the information that is necessary to determine whether an apportionment may be authorized and the reasonable amount that may be awarded. Without this collection of information, VA would be unable to properly authorize apportionments of compensation and pension benefits. No substantive changes have been made to this form. The respondent burden has decreased due to the estimated number of receivables averaged over the past two years.

US Code: 38 USC 5307 Name of Law: Apportionment of benefits
  
None

Not associated with rulemaking

  86 FR 14686 03/17/2021
86 FR 27503 05/20/2021
No

1
IC Title Form No. Form Name
Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788) 21-0788 Information Regarding Apportionment of Beneficiary's Award

  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 3,211 0 0 -21,789 0 25,000
Annual Time Burden (Hours) 1,606 0 0 -10,894 0 12,500
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The respondent burden has decreased due to the estimated number of receivables averaged over the past two years.

$185,255
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 maribel.aponte@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.
05/24/2021


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