OMB29-0309(7-17-08)

OMB29-0309(7-17-08).doc

Direct Deposit Enrollment/Change

OMB: 2900-0665

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SUPPORTING STATEMENT

VA FORM 29-0309,

DIRECT DEPOSIT ENROLLMENT FORM

2900-0665


A. JUSTIFICATION:


1. This form is used by the insured or beneficiary to apply for direct deposit of a Treasury check. The information on the form is required by Public Law 104-134.


2. The data collected on the form is used by the Department of Veteran Affairs (VA) to initiate direct deposit of an insurance benefit. VA Form 29-0309 is not only used by VA beneficiaries but by living veterans for their active VA life insurance.


3. VA Form 29-0309 is produced on the Laser Printers located at the VA SDC in Philadelphia, PA. These forms are partially completed by the system and mailed directly to the veteran.


4. The information is not contained in any other VA records. Similar information is not available elsewhere.


5. The information does not involve any small businesses.


6. This form is designed for use by the insured or beneficiary to establish his/her eligibility for direct deposit.


7. There are no special circumstances requiring that the collection of information be conducted in a manner inconsistent with the guidelines in 5 CFR Section 1320.6.


8. The Department notice was published in the Federal Register on April 21, 2008, Volume 73, Number 77, Page 21412. There were no comments received in response to this notice.


9. The information collected is supplied by the respondent. No remuneration is made.


10. The information collection conforms with the Privacy Act of 1974 and is subject to the conditions of disclosure contained therein. The records are maintained in the system identified as 36VA00, “Veterans and Armed Forces Personnel United States Government Life Insurance Records - VA” as contained in the Privacy Act Issuances, 1993 Compilation.


11. There are no questions of a sensitive nature.


12. We estimate that approximately 30,000 applications a year will be received. We also estimate that it will take approximately 20 minutes to complete this form. We arrived at this estimate by initiating a trial with a VA staff member unfamiliar with this form. The annual burden is 10,000.


13. This submission does not involve any record keeping costs.


14. Cost to Government:


$15,820.00 Estimated mailing cost (30,000 X 2 minutes per

form X $7.45/hour (average salary for station

mail personnel) plus 30,000 X 27.9 cents each

(presort discount)).


$7,910.00 Estimated cost for collections (30,000 X 2 minutes

per X $7.91/hour (average salary of station collections

personnel)).


$57,650.00 Estimated cost for processing (30,000 forms X 10

minutes per form X $11.53/hour (average salary

for reviewers)).


$900.00 Estimated printing costs (30,000 X $30/1,000 forms).


$82,280.00 Total cost to the Government.


$150,000.00 Cost to reporting public (10,000 hours X $15/hour).


15. There is no change in burden.


16. The information is collected for insurance purposes only and there are no plans for publication.


17. The collection instrument, VA Form 29-0309, may be reproduced and/or stocked by the respondents and veteran service organizations. This VA form does not display an expiration date, and if required to do so would result in unnecessary waste of existing stock of this form. This form is submitted to OMB for approval every three years. As such, this date requirement would also result in an unnecessary burden on the respondents and would delay Department action on the benefit being sought. VA also seeks to minimize its cost to itself of collecting, processing and using the information by not displaying the expiration date. For the reasons stated, VA continues to seek an exemption that waives the displaying of the expiration date on this VA form.


18. There are no exceptions to the certification statement identified in Item 19 of

OMB Form 83-I.


B. Statistical Methods


This data collection does not employ statistical methods.

File Typeapplication/msword
File TitleSUPPORTING STATEMENT
AuthorVeterans Benefits Administrat
Last Modified ByDottie Bolyard
File Modified2008-07-17
File Created2008-06-23

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