Information Collection

Request for Details of Expenses

IC 28360 under ICR 201609-2900-004 · OMB 2900-0138.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0138 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21P-8049 Request for Details of Expenses	Form
21P-8049 REQUEST FOR DETAILS OF EXPENSES VA Form 21P-8049 (Revisions 2-23-16).pdf www.va.gov/vaforms	Form

IC Title:

Request for Details of Expenses

Agency IC Tracking Number:

2900-0138 VBA-F&P-YM

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.272

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	21P-8049	REQUEST FOR DETAILS OF EXPENSES	VA Form 21P-8049 (Revisions 2-23-16).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)

FR Citation: 74 FR 29275

Number of Respondents: 22,800

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	22,800	22,800
Annual IC Time Burden (Hours)	5,700	5,700
Annual IC Cost Burden (Dollars)	115,283	115,283

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.