View Information Collection (IC)

View Information Collection (IC)

IC Title:	Veteran's Application for Compensation and/ or Pension; Authorization and Consent to Release Information to the DVA, Veteran's Supplemental Claim Application	Agency IC Tracking Number:	2900-0001

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21-526b	Veteran's Supplemental Claim Application	21-526b(10-09).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-4142	Authorization and Consent to Release Information to the Department of Veterans Affairs (VA)	21-4142(2-12).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-526	Veteran's Application for Compensation and/or Pension	21-526(3-12).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 595,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	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	595,000	0	0	0	0	595,000
Annual IC Time Burden (Hours)	441,982	0	0	0	0	441,982
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.