View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Financial Status Report 2900-0165
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 1.982 38 CFR 1.983 38 CFR 1.941 38 CFR 1.942 38 CFR 1.931 38 CFR 1.965 38 CFR 1.912 38 CFR 1.917

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 5655 https://www.va.gov/manage-va-debt/ and/or https://www.va.gov/contact-us/ask-va/introduction Yes Yes Fillable Fileable

General Government Legislative Functions

Benefits Accounts Receivable Records (BARR)-VA   91 FR 40670

150,871 0
   
Individuals or Households
 
   40 %

  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 150,871 0 0 117,536 0 33,335
Annual IC Time Burden (Hours) 150,871 0 0 117,536 0 33,335
Annual IC Cost Burden (Dollars) 5,060,213 0 0 4,068,163 0 992,050

Title Document Date Uploaded
2900-0165 60 Day Publication 09/25/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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