Request for Employment Information in Connection with a Claim for Disability Benefits

Request for Employment Information in Connection with a Claim for Disability Benefits

OMB: 2900-0066

IC ID: 28208

Information Collection (IC) Details

View Information Collection (IC)

Request for Employment Information in Connection with a Claim for Disability Benefits 2900-0066
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form Letter 29-459 Request for Employment Information in Connection with a Claim for Disability Benefits 29-459.pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

 

5,167 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 5,167 0 0 0 0 5,167
Annual IC Time Burden (Hours) 862 0 0 0 0 862
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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