THIS FORM IS USED TO IDENTIFY IF THE
THE CLAIMANT HAS ACCEPTABLE PHILIPPINE SERVICE AND ALL DISABILITY
INFORMATION RELATED TO SERVICE. THE CLAIMANT IS ALSO REQUIRED TO
FURNISH THE NECESSARY LOYALTY INFORMATION AS WELL AS OTHER
MISCELLANEOUS INFORMATION. AUTHORITY IS 38 U.S.C. 210.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.