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: 2900-0877	ICR Reference No: 202005-2900-005
Status: Historical Active	Previous ICR Reference No: 202004-2900-006
Agency/Subagency: VA	Agency Tracking No: VBA-OMS-NK
Title: Freedom of Information Act (FOIA) or Privacy Act (PA) Request (VA Form 20-10206), Priority Processing Request (VA Form 20-10207) and Document/Evidence Submission (VA Form 20-10208)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/26/2020
	Date Received in OIRA: 08/19/2020
Terms of Clearance: During the Public Health Emergency declared for COVID-19, VA shall, to the extent permitted by applicable law and regulation, accept electronic signatures and shall submit an appropriate non-material/non-substantive change request to Form 20-10206 within 15 days of approval. VA may submit a non-material/non-substantive change to require wet signatures after the expiration of the Public Health Emergency declared in response to COVID-19. In its next revision, reinstatement, or extension request, VA shall modify in each of these three forms the statement "Your obligation to respond is voluntary" to "Your response is required to obtain or retain a benefit."

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2023	36 Months From Approved
Responses	500,000	0	0
Time Burden (Hours)	50,000	0	0
Cost Burden (Dollars)	0	0	0

Annual Cost to Federal Government: $22,661,527

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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