Reports of: General Information, First Notice of Death, Nursing Home or Assisted Living, Defense Finance & Accounting, Non-Receipt of Payment, Incarceration, Month of Death (VA Forms 27-0820 series)

ICR 202104-2900-018

OMB: 2900-0734

Federal Form Document

ICR Details
2900-0734 202104-2900-018
Received in OIRA 201712-2900-006
VA VBA-BAS-NK
Reports of: General Information, First Notice of Death, Nursing Home or Assisted Living, Defense Finance & Accounting, Non-Receipt of Payment, Incarceration, Month of Death (VA Forms 27-0820 series)
Reinstatement with change of a previously approved collection   No
Regular 10/27/2021
  Requested Previously Approved
36 Months From Approved
2,550,000 0
212,500 0
0 0

These forms will be used by VA Regional Office and Pension Maintenance Center employees to meet our requirement to document verbal evidence obtained telephonically from our beneficiary or claimant that will be used as part of the evidence for a claim for benefits.

None
None

Not associated with rulemaking

  86 FR 36320 07/09/2021
86 FR 20919 09/27/2021
No

  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 2,550,000 0 0 0 0 2,550,000
Annual Time Burden (Hours) 212,500 0 0 0 0 212,500
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$36,641,081
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.
10/27/2021


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