Information Collection

VA Form 9 (Legacy)

IC 234849 under ICR 202111-2900-002 · OMB 2900-0674.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0674 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 9 (Feb. 20 VA Form 9 (Legacy)	Form and Instruction
VA Form 9 (Feb. 20 Appeal to Board of Veterans' Appeals VA Form 9 (Feb. 2019).pdf	Form and Instruction
VA Form 9 (Feb. 20 Appeal to Board of Veterans' Appeals VA Form 9 (Feb. 2019).pdf	Form and Instruction

IC Title:

VA Form 9 (Legacy)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 19.22

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	VA Form 9 (Feb. 2019)	Appeal to Board of Veterans' Appeals	VA Form 9 (Feb. 2019).pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,800

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,800	-60,700	64,500
Annual IC Time Burden (Hours)	3,800	-60,700	64,500
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.