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Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788)
Information Regarding Apportionment of Beneficiary's Award (VA Form 21-0788)
OMB: 2900-0666
IC ID: 28944
OMB.report
VA
OMB 2900-0666
ICR 202110-2900-005
IC 28944
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0666 can be found here:
2024-07-08 - Revision of a currently approved collection
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
VAF 21-0788 (Final Reg Chg Copy).pdf
www.va.gov/vaforms
Form
21-0788 Information Regarding Apportionment of Beneficiary's Awa
VAF 21-0788 (Final Reg Chg Copy).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 3.454
38 CFR 3.451
38 CFR 3.453
38 CFR 3.458
38 CFR 3.450
38 CFR 3.459
38 CFR 3.460
38 CFR 3.461
38 CFR 3.452
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
VAF 21-0788 (Final Reg Chg Copy).pdf
www.va.gov/vaforms
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
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:
815
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
815
0
-2,396
0
0
3,211
Annual IC Time Burden (Hours)
204
0
-1,402
0
0
1,606
Annual IC Cost Burden (Dollars)
0
0
0
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.