View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0270	ICR Reference No: 201905-2900-008
Status: Historical Active	Previous ICR Reference No: 200712-2900-001
Agency/Subagency: VA	Agency Tracking No: VBA-LGY-NK
Title: Financial Counseling Statement (VA Form 26-8844)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/06/2020
	Date Received in OIRA: 10/22/2019
Terms of Clearance: In the next extension or revision request, VA shall 1. Respond appropriately to future public comments and the public comment made on this submission, 2. Shall include an analysis on whether there are cases where a spouse's signature is not needed and make any appropriate updates to the form based on this analysis (e.g., the spouse is not a coborrower, does not live in a community property state, is separated from the borrower), and 3. Shall include the items required by 5 USC 552a(e)(3).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2022	36 Months From Approved
Responses	5,000	0	0
Time Burden (Hours)	3,750	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	5,000	5,000
Annual Time Burden (Hours)	3,750	3,750
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a reinstatement of a formerly approved collection so the burden increase was automatically selected.

Annual Cost to Federal Government: $255,150

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Danny Green 202 421-1354 danny.green2@va.gov

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