Eligibility Verification Report

ELIGIBILITY VERIFICATION REPORT

OMB: 2900-0101

IC ID: 147048

Documents and Forms
Document Name
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no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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ELIGIBILITY VERIFICATION REPORT
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA 21-4179 No No
Form 21-8913 No No
Form 21-8914 No No
Form 21-8915 No No
Form 21-8916 No No
Form 21-8917 No No
Form 21-8918 No No
Form 21-8919 No No


    

1,500,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,600,000 0 0 0 0 1,600,000
Annual IC Time Burden (Hours) 400,000 0 0 0 0 400,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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