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

ICR 198011-2900-109

OMB: 2900-0198

Federal Form Document

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Document
Name
Status
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IC Document Collections
ICR Details
2900-0198 198011-2900-109
Historical Active 197908-2900-003
VA
APPLICATION FOR ANNUAL CLOTHING ALLOWANCE (UNDER 38 U.S.C. 362)
No material or nonsubstantive change to a currently approved collection   No
Emergency 11/06/1980
Approved with change 11/06/1980
Retrieve Notice of Action (NOA) 11/06/1980
  Inventory as of this Action Requested Previously Approved
08/31/1984 08/31/1984 08/31/1984
8,400 0 8,000
1,400 0 1,333
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 8,400 8,000 0 400 0 0
Annual Time Burden (Hours) 1,400 1,333 0 67 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
11/06/1980


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