ICR Documents

Supporting Statement A Document Date Uploaded VSSTF Supporting Statement A_1.22.26_to JMD (1).docx 03/12/2026 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded 42 USC 10609 42 USC 10609.pdf Supplementary Document 07/08/2016 Applicant’s Acknowledgment of Attorney’s Compliance with Statutory Limitation on Attorneys’ Fees Applicant's Acknowledgment of Attorney's Compliance with Limitation on A.10.5.16.pdf Supplementary Document 10/20/2016 Attorney’s Certification of Compliance with Statutory Limitation on Attorneys’ Fees Attorney Certification for Fee Limitation nonPR 10.5.16.pdf Supplementary Document 10/20/2016 Attorney’s Certification of Compliance with Statutory Limitation on Attorneys’ Fees for Personal Representatives Attorney Certification for Fee Limitation_PR.pdf Supplementary Document 10/20/2016 Instructions for Changing or Removing Attorney Listed on an Application Form Attorney Change or Removal Form.pdf Supplementary Document 10/20/2016 Applicant’s Authorization for Communication and Correspondence Authorization for Communication Correspondence nonPR 10.5.16.pdf Supplementary Document 10/20/2016 Personal Representative’s Authorization for Communication and Correspondence Authorization for Communication Correspondence PR_10.5.16.pdf Supplementary Document 10/20/2016 Consent to Proposed Distribution Plan Consent to Distribution_10.5.16 v2.pdf Supplementary Document 10/20/2016 Proposed Distribution Plan Draft Distribution Plan 10.07.16.pdf Supplementary Document 10/20/2016 List of Individuals Notified of Claim Filing Draft List of Individuals (for Notice of Filing Claim) 10.6.16 1115am.pdf Supplementary Document 10/20/2016 Hearing Request Form Hearing Request Form.pdf Supplementary Document 10/20/2016 Notice of Filing Claim Notice of Filing Claim 10.5.16.pdf Supplementary Document 10/20/2016 Personal Representative’s Acknowledgment of Attorney’s Compliance with Statutory Limitation on Attorneys’ Fees PR's Acknowledgment of Attorney's Compliance with Limitation on Attorney.pdf Supplementary Document 10/20/2016 Direct Deposit Payment Form VSST ACH Form 9.20.16.pdf Supplementary Document 10/20/2016 Published 30 Day Notice Published 30-Day Notice.pdf Supplementary Document 10/16/2019 Supplementary Information for 2019 extension Memo 1123-0013.docx Supplementary Document 11/29/2019 No Material Change to Form Nonmaterial Change Justification 1123-0013.docx Justification for No Material/Nonsubstantive Change 04/17/2023 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received