View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 2900-0668	ICR Reference No: 201312-2900-012
Status: Historical Active	Previous ICR Reference No: 201103-2900-011
Agency/Subagency: VA	Agency Tracking No: 2900-0668 VBA-P&P-NK
Title: Supplemental Income Questionnaire (For Philippine Claims Only) (21P-0784)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/19/2014
	Date Received in OIRA: 08/29/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	36 Months From Approved	11/30/2014
Responses	120	0	120
Time Burden (Hours)	30	0	30
Cost Burden (Dollars)	0	0	0

Authorizing Statute(s): US Code: 38 USC 107 Name of Law: Certain service deemed not to be active service
   US Code: 38 USC 1521 Name of Law: Veterans of a period of war
   US Code: 38 USC 1541 Name of Law: Surviving spouses of veterans of a period of war
   US Code: 38 USC 1542 Name of Law: Children of veterans of a period of war
   US Code: 38 USC 1506 Name of Law: Resource reports and overpayment adjustments

Citations for New Statutory Requirements: None

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.