Paralympics & Olympics Monthly Training Allowance Application and Certification - VA Forms 0918a & 0918b

Forms and Documents

Document Name	Status
Form 0918a Paralympics & Olympics Monthly Assistance Allowance Application and Certification Form	Modified
30-day FRN_2900-0760_Paralympics & Olympics Forms_0918a-b_published 06092021.pdf Supplementary Document	2021-06-16
2900-0760_Memo on Stipends4Vets App PRA Compliance_form screen shots_06022021.docx Supplementary Document	2021-06-04
60-day FRN_2900-0760_Paralympics & Olympics Forms_0918a-b_published.pdf Supplementary Document	2020-11-28
2900-0760_Supporting Statement A_Paralympics & Olympics Training Allowance Forms_updated June 2021.docx Supporting Statement A	2021-06-16

IC Document Collections

IC ID	Document Title	Status
194745	Paralympics & Olympics Monthly Assistance Allowance Application and Certification Form	Modified

ICR Details

OMB Control No: 2900-0760	ICR Reference No: 202003-2900-020
Status: Received in OIRA	Previous ICR Reference No: 201501-2900-005
Agency/Subagency: VA	Agency Tracking No: 2900-0760
Title: Paralympics & Olympics Monthly Training Allowance Application and Certification - VA Forms 0918a & 0918b
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/16/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	100	0
Time Burden (Hours)	50	0
Cost Burden (Dollars)	0	0

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Abstract: Section 703 of the Veterans’ Benefits Improvement Act of 2008, P.L. 110-389, authorizes the Department of Veterans Affairs (VA) to administer a monthly assistance allowance to a veteran with a service-connected or non-service-connected disability if the veteran is competing for a slot on or selected for the United States Paralympics and Olympics team or is residing at a United States Paralympics or Olympics training center. The information collected will be used to certify eligibility for the monthly assistance allowance, verify the veteran’s mailing address, confirm that he or she has been accepted by the Paralympics or Olympics to compete in a specific Paralympic or Olympic sport, and to determine their marital status and number of dependents for the purpose of assessing payment amounts.

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Authorizing Statute(s): PL: Pub.L. 110 - 389 703 Name of Law: Veterans' Benefits Improvement Act of 2008
  

Citations for New Statutory Requirements: PL: Pub.L. 110 - 389 703 Name of Law: Veterans' Benefits Improvement Act of 2008

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 62812	10/05/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 30685	06/09/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Paralympics & Olympics Monthly Assistance Allowance Application and Certification	0918b, 0918a	Certification of National Paralympics & Olympics Training Status ,   Application for Monthly Assistance Allowance For Veterans In Connection with Paralympics & Olympics in the United States

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	100	0	0	-400	0	500
Annual Time Burden (Hours)	50	0	0	-16	0	66
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The program office has determined that, based upon prior years of data, this is an accurate estimated burden.

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Annual Cost to Federal Government: $1,512

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/16/2021

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