Information Collection

Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances

IC 28659 under ICR 201104-2900-027 · OMB 2900-0463.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0463 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21-8951-2 Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances	Form
21-8951-2 Notice of Waiver of VA Compensation or Pension to Receiv 21-8951-2(8-11).pdf www.va.gov/vaforms/	Form
21-8951 Notice of Waiver of VA Compensation or Pension to Receiv 21-8951(8-11).pdf	Form

IC Title:

Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances

Agency IC Tracking Number:

2900-0463

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
Form	21-8951-2	Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances	21-8951-2(8-11).pdf	http://www.va.gov/vaforms/	Yes	No	Fillable Printable
Form	21-8951	Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances	21-8951(8-11).pdf		No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21,000

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	21,000	21,000
Annual IC Time Burden (Hours)	3,500	3,500
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.