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: 2900-0047	ICR Reference No: 202001-2900-001
Status: Historical Active	Previous ICR Reference No: 201702-2900-004
Agency/Subagency: VA	Agency Tracking No: VBA-LGY-YA
Title: Financial Statement (VA Form 26-6807)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/21/2020
	Date Received in OIRA: 05/18/2020
Terms of Clearance: In the next reinstatement, revision, or extension request, VA shall modify "Your obligation to respond is required to obtain or retain benefits" to "Your response is required to obtain or retain benefits." In addition, VA shall explain how it uses race and ethnicity data collected in this form and consult with OMB about how to maximize the practical utility and validity of these data.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2023	36 Months From Approved	08/31/2020
Responses	3,000	0	3,000
Time Burden (Hours)	2,250	0	2,250
Cost Burden (Dollars)	0	0	0

Annual Cost to Federal Government: $26,520

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? No

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

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