Financial Status Report

Financial Status Report

OMB: 2900-0165

IC ID: 44123

Information Collection (IC) Details

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Financial Status Report 2900-0165
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 1.965 38 CFR 1.917 38 CFR 1.931 38 CFR 1.941 38 CFR 1.942 38 CFR 1.912 38 CFR 1.982 38 CFR 1.983

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 5655 Financial Status Report VA5655.pdf http://www1.va.gov/debtman Yes No Fillable Fileable

General Government Legislative Functions

 

45,553 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 45,553 0 0 0 0 45,553
Annual IC Time Burden (Hours) 45,553 0 0 0 0 45,553
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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