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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0666 can be found here:

Documents and Forms

Document Name Document Type
Form 21-0788 Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788) Form
21-0788 Information Regarding Apportionment of Beneficiary's Awa VA Form 21-0788 (OMB Exp. 3-31-21).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788)	Agency IC Tracking Number:	2900-0666

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.452 38 CFR 3.453 38 CFR 3.454 38 CFR 3.451 38 CFR 3.458 38 CFR 3.450 38 CFR 3.459 38 CFR 3.460 38 CFR 3.461

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21-0788	Information Regarding Apportionment of Beneficiary's Award	VA Form 21-0788 (OMB Exp. 3-31-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)	FR Citation: 84 FR 4138

Number of Respondents: 3,211	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,211	-21,789	25,000
Annual IC Time Burden (Hours)	1,606	-10,894	12,500
Annual IC Cost Burden (Dollars)	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.