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: 2900-0399	ICR Reference No: 202102-2900-006
Status: Historical Active	Previous ICR Reference No: 201708-2900-015
Agency/Subagency: VA	Agency Tracking No: VBA-P&F-MS
Title: Student Beneficiary Report – Restored Entitlement Program for Survivors (REPS) (VA Form 21P-8938-1)
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 without change	Conclusion Date: 10/29/2021
	Date Received in OIRA: 09/20/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2024	36 Months From Approved
Responses	1,200	0	0
Time Burden (Hours)	300	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,200	-4,100	5,300
Annual Time Burden (Hours)	300	-1,467	1,767
Annual Cost Burden (Dollars)	0	-42,135	42,135

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

Burden Increase Due to:

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Previously, this collection consisted of two forms: VA Form 21P-8938 and VA Form 21P-8938-1. Currently, the only form used is VA Form 21P-8938-1, therefore the burden has decreased.

Annual Cost to Federal Government: $59,708

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: Maribel Aponte 202 266-4688 maribel.aponte@va.gov

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