Application for Annual Clothing Allowance

ICR 200005-2900-008

OMB: 2900-0198

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
28436 Migrated
ICR Details
2900-0198 200005-2900-008
Historical Active 199611-2900-007
VA
Application for Annual Clothing Allowance
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 07/14/2000
Retrieve Notice of Action (NOA) 05/19/2000
Approved for use through 7/2003 under the condition that the VA immediately incorporates the disclosure statements mandated by the Paperwork Reduction Act of 1995. For the public record, the VA must submit to OMB the revised forms/instructions.
  Inventory as of this Action Requested Previously Approved
07/31/2003 07/31/2003
6,720 0 0
1,120 0 0
0 0 0

This form is used to apply for the annual clothing allowance.

None
None


No

1
IC Title Form No. Form Name
Application for Annual Clothing Allowance 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 6,720 0 0 6,720 0 0
Annual Time Burden (Hours) 1,120 0 0 1,120 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.
05/19/2000


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