Terms of the
previous clearance remain in effect. VA has requested withdrawal of
this information collection request.
Inventory as of this Action
Requested
Previously Approved
03/31/2015
36 Months From Approved
05/31/2015
14,000
0
14,000
7,000
0
7,000
0
0
0
VA Form 21-2680. This form will be
used to gather medical information on behalf of beneficiaries or
claimants who are requesting the aid and attendance or housebound
benefit and who receive treatment from private doctors or
physicians. This form is associated with the AO81 proposed
rule.
US Code:
38
USC 1521(d) Name of Law: Veterans of a period of war
US Code: 38
USC 1521(e) Name of Law: Veterans of a period of war
US Code: 38
USC 1114 Name of Law: Rates of wartime disability
compensation
US Code:
38 USC 1115(1)(e) Name of Law: Additional compensation for
dependents
US Code: 38
USC 1311(d) Name of Law: Dependency and indemnity compensation
to a surviving spouse
US Code: 38
USC 1541(d) Name of Law: Surviving spouses of veterans of a
period of war
US Code: 38
USC 1541(e) Name of Law: Surviving spouses of veterans of a
period of war
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.