APPLICATION FOR ANNUAL CLOTHING ALLOWANCE (UNDER 38 U.S.C. 362)

ICR 197908-2900-003

OMB: 2900-0198

Federal Form Document

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Document
Name
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IC Document Collections
ICR Details
2900-0198 197908-2900-003
Historical Active 197510-2900-004
VA
APPLICATION FOR ANNUAL CLOTHING ALLOWANCE (UNDER 38 U.S.C. 362)
Revision of a currently approved collection   No
Regular
Approved without change 09/07/1979
Retrieve Notice of Action (NOA) 08/20/1979
  Inventory as of this Action Requested Previously Approved
08/31/1984 08/31/1984 10/31/1980
8,000 0 12,000
1,333 0 2,000
0 0 0

THIS FORM IS REQUIRED TO FILE A CLAIM FOR THE ANNUAL CLOTHING ALLOWANCE. BASED ON THE TYPE APPLIANCE INDICATED BY THE VETERAN ON THE APPLICATION AND THE DISABLITY FOR WHICH SERVICE-CONNECTION HAS BEEN ESTABLISHED A DETERMINATION IS MADE AS TO WHETHER OR NOT PAYMENT OF THE ANNUAL CLOTHING ALLOWANCE IS WARRANTED. 38 U.S.C. 362.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR ANNUAL CLOTHING ALLOWANCE (UNDER 38 U.S.C. 362) 21-8678

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,000 12,000 0 0 -4,000 0
Annual Time Burden (Hours) 1,333 2,000 0 0 -667 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
08/20/1979


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