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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 29-389 Notice of Lapse & Application for Reinstatement Notice of Lapse & Application for Reinstatement	Form
Form 29-389-1 Notice of Past Due Payment & Application for Reinstatement 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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	29-389			http://www.va.gov/vaforms/	Yes	No	Fillable Printable
Form	29-389-1				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 %

table that charts list of burden
	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

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.

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