Information Collection

e-Benefits Portal

IC 190169 under ICR 200910-2900-001 · OMB 2900-0737.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0737 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
e-Benefits ProfileFormv2.ppt	Other-portal
2900-0737 Registration Form.ppt	Other-Registration Form

IC Title:

e-Benefits Portal

Agency IC Tracking Number:

2900-0737

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
Other-portal				www.ebenefits.va.gov	Yes	Yes	Fillable Fileable
Other-Registration Form				www.ebenefits.va.gov	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,700,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,700,000	2,700,000
Annual IC Time Burden (Hours)	225,000	225,000
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.

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