Information Collection

Veteran's Application for Compenstion; Authorization and Consent to Release Information to the Department of Veterans Affairs

IC 28062 under ICR 200701-2900-004 · OMB 2900-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 21-526 and Veteran's Application for Compenstion; Authorization and Consent to Release Information to the Department of Veterans Affairs	Form and Instruction
VA Form 21-526 and Veteran's Application for Compensation;Authorization and 2900-0001 VA Form 21-526 and 21-4142.pdf www.va.gov/vaforms	Form and Instruction

IC Title:

Veteran's Application for Compenstion; Authorization and Consent to Release Information to the Department of Veterans Affairs

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	VA Form 21-526 and 21-4142	Veteran's Application for Compensation;Authorization and Consent to Release to the Department of Veterans Affairs	2900-0001 VA Form 21-526 and 21-4142.pdf	www.va.gov/vaforms	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 395,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	395,000	395,000
Annual IC Time Burden (Hours)	592,500	592,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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