Information Collection

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

IC 28208 under ICR 201006-2900-004 · OMB 2900-0066.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form Letter 29- Request for Employment Information in Connection with a Claim for Disability Benefits	Form
VA Form Letter 29- Request for Employment Information in Connection with a 29-459.pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

2900-0066

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
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

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,167

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	5,167	5,167
Annual IC Time Burden (Hours)	862	862
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.