Information Collection

Request for Supplemental Information on Medical and Nonmedical Applications (FL 29-615)

IC 28350 under ICR 201312-2900-004 · OMB 2900-0131.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form Letter 29- Request for Supplemental Information on Medical and Nonmedical Applications (FL 29-615)	Form
VA Form Letter 29- Request For Supplemental Information on Medical and Nonm FL29-615.pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

2900-0131 VBA-INS-DB

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 8.11

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 29-615	Request For Supplemental Information on Medical and Nonmedical Applications	FL29-615.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: 9,000

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	9,000	9,000
Annual IC Time Burden (Hours)	3,000	3,000
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.