Request For Personal Identity Verification Card

REQUEST FOR PERSONAL IDENTITY VERIFICATION CARD

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0673 can be found here:

Documents and Forms

Document Name Document Type
Form 0711 REQUEST FOR PERSONAL IDENTITY VERIFICATION CARD Form
0711 Request for Personal Identity Verification Card 2900-0673 VA Form 0711.pdf vaww.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	REQUEST FOR PERSONAL IDENTITY VERIFICATION CARD	Agency IC Tracking Number:	2900-0673

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0711	Request for Personal Identity Verification Card	2900-0673 VA Form 0711.pdf	vaww.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100,000	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	8,333	8,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.