Information Collection

Verification of VA Benefits

IC 28623 under ICR 201210-2900-002 · OMB 2900-0406.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0406 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 26-8937 Verification of VA Benefits	Form
VA Form 26-8937 Verification of VA Benefits 26-8937.pdf www.va.gov/vaforms	Form

IC Title:

Verification of VA Benefits

Agency IC Tracking Number:

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 26-8937	Verification of VA Benefits	26-8937.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	120,000	-30,000	150,000
Annual IC Time Burden (Hours)	10,000	-2,500	12,500
Annual IC Cost Burden (Dollars)	0	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.