Information Collection

Application for Change of Permanent Plan (Medical)

IC 28423 under ICR 202104-2900-014 · OMB 2900-0179.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0179 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29-1549 Application for Change of Permanent Plan (Medical)	Form
29-1549 Application for Change of Permanent Plan (Medical) VA Form 29-1549 (OMB Exp. 5-31-21).pdf www.va.gov/vaforms	Form
29-1549 Application for Change of Permanent Plan (Medical) VA Form 29-1549 (OMB Exp. 5-31-21).pdf www.va.gov/vaforms	Form

IC Title:

Application for Change of Permanent Plan (Medical)

Agency IC Tracking Number:

2900-0179

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 6.48 38 CFR 8.36

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	29-1549	Application for Change of Permanent Plan (Medical)	VA Form 29-1549 (OMB Exp. 5-31-21).pdf	www.va.gov/vaforms	Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28

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 Potential Violation of the PRA
Annual Number of Responses for this IC	28	28
Annual IC Time Burden (Hours)	14	14
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.