Declaration of Status of Dependents

ICR 200201-2900-022

OMB: 2900-0043

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
28160 Migrated
ICR Details
2900-0043 200201-2900-022
Historical Inactive 199812-2900-003
VA
Declaration of Status of Dependents
Extension without change of a currently approved collection   No
Regular
Withdrawn and continue 01/24/2002
Retrieve Notice of Action (NOA) 01/18/2002
Withdrawn by VA, to be resubmitted in the near future. VA can continue this collection in the interim.
  Inventory as of this Action Requested Previously Approved
03/31/2002 01/31/2005 03/31/2002
226,000 0 226,000
56,500 0 0
0 0 0

VA Form 21-686c is used to confirm marital status and dependency of children.

None
None


No

1
IC Title Form No. Form Name
Declaration of Status of Dependents 21-686C

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.
01/18/2002


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