THIS APPLICATION IS PROVIDED TO ENABLE
A VETERAN TO REOPEN A PREVIOUSLY DISALLOWED CLAIM OR A SUPPLEMENTAL
CLAIM FOR DISABILITY PENSION OR TO ESTABLISH WHETHER OR NOT
INDIVIDUAL UNEMPLOYABILITY EXISTS FOR PAYMENT OF SERVICE-CONNECTED
DISABILITY COMPENSATION AT THE 100 PERCENT RATE. THE INFORMATION
REQUESTED ON THIS FORM IS REQUIRED TO PROVIDE CURRENT INFORMATION
TO ENABLE ADJUDICATION OF THE CLAIM. AUTHORITY IS 38 U.S.C. CH.
15
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.