Information Collection

Notice of Lapse & Application for Reinstatement

IC 28339 under ICR 201411-2900-001 · OMB 2900-0128.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0128 can be found here:

Documents and Forms

Document Name Document Type
Form 29-389 Notice of Lapse & Application for Reinstatement Form
29-389 Notice of Lapse & Application for Reinstatement 29-389.pdf www.va.gov/vaforms/ Form
29-389-1 Notice of Past Due Payment & Application for Reinstateme 29-389-1.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notice of Lapse & Application for Reinstatement	Agency IC Tracking Number:	2900-0128

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	29-389	Notice of Lapse & Application for Reinstatement	29-389.pdf	http://www.va.gov/vaforms/	Yes	No	Fillable Printable
Form	29-389-1	Notice of Past Due Payment & Application for Reinstatement	29-389-1.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 23,352	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	23,352	0	23,352
Annual IC Time Burden (Hours)	4,281	-178	4,459
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.