Status of Dependents Questionnaire

Status of Dependents Questionnaire (21-0538)

OMB: 2900-0500

IC ID: 28684

Information Collection (IC) Details

View Information Collection (IC)

Status of Dependents Questionnaire 2900-0500
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 3.652

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 21-0538 Status of Dependents Questionnaire VA Form 21-0538 (DOMA - 6-18-14).pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

 

84,500 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 84,500 0 0 0 0 84,500
Annual IC Time Burden (Hours) 14,083 0 0 0 0 14,083
Annual IC Cost Burden (Dollars) 211,245 0 0 0 0 211,245

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.

© 2024 OMB.report | Privacy Policy