Information Collection

Notice - Payment Not Applied

IC 28364 under ICR 201012-2900-006 · OMB 2900-0139.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0139 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29-4499A Notice - Payment Not Applied	Form
29-4499A Notice - Payment Not Applied 29-4499A(3-08).PDF www.va.gov/vaforms/	Form

IC Title:

Notice - Payment Not Applied

Agency IC Tracking Number:

2900-0139

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 8.23

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	29-4499A	Notice - Payment Not Applied	29-4499A(3-08).PDF	http://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: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	300	300
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.