a. Application of Service Reresentative for Placement on Mailing List b. Request for and Consen to Release of Information from Claimant's Records c. Requests to Corespondent for Identifing....

a. Application of Service Reresentative for Placement on Mailing List b. Request for and Consen to Release of Information from Claimant's Records c. Requests to Corespondent for Identifing....

OMB: 2900-0028

IC ID: 28125

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Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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a. Application of Service Reresentative for Placement on Mailing List b. Request for and Consen to Release of Information from Claimant's Records c. Requests to Corespondent for Identifing....
 
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-70-2 No No
Form VA-3215 No No
Form VA-3288 No No


    

196,200 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 196,200 0 0 196,050 0 150
Annual IC Time Burden (Hours) 22,700 0 0 22,675 0 25
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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