Information Collection

Income, Asset, and Employment Statement

IC 232906 under ICR 201808-2900-001 · OMB 2900-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0002 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21P-527 Income, Asset, and Employment Statement	Form and Instruction
21P-527 Income, Asset, and Employment Statement 2900-0002 21P-527(7-30-14).pdf www.vba.va.gov/pubs/forms/VBA-21P-527-ARE.pdf	Form and Instruction

IC Title:

Income, Asset, and Employment Statement

Agency IC Tracking Number:

2900-0002

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.342 38 CFR 3.271

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 and Instruction	21P-527	Income, Asset, and Employment Statement	2900-0002 21P-527(7-30-14).pdf	https://www.vba.va.gov/pubs/forms/VBA-21P-527-ARE.pdf	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: 25,000

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	25,000	25,000
Annual IC Cost Burden (Dollars)	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.