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Decision Review Request: Board Appeal (Notice of Disagreement) (New)
Notice of Disagreement (NOD)/Appeal to the Board of Veterans' Appeals
OMB: 2900-0674
IC ID: 28952
OMB.report
VA
OMB 2900-0674
ICR 202111-2900-002
IC 28952
( )
Documents and Forms
Document Name
Document Type
Form VA Form 10182
Decision Review Request: Board Appeal (Notice of Disagreement) (New)
Form
VA Form 10182 Decision Review Request: Board Appeal (Notice of Disagre
VA Form 10182 (April 2021).pdf
Form
VA Form 10182 Decision Review Request: Board Appeal (Notice of Disagre
VA Form 10182 (April 2021).pdf
Form
VA Form 10182 (April 2021).pdf
Decision Review Request: Board Appeal (Notice of Disagreement)
IC Document
VA Form 10182 (April 2021).pdf
Decision Review Request: Board Appeal (Notice of Disagreement)
IC Document
VA Form 9 (Feb. 2019).pdf
Appeal to the Board of Veterans' Appeals
IC Document
VA Form 9 (Feb. 2019).pdf
Appeal to the Board of Veterans' Appeals
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Decision Review Request: Board Appeal (Notice of Disagreement) (New)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
38 CFR 20.202
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
VA Form 10182
Decision Review Request: Board Appeal (Notice of Disagreement
VA Form 10182 (April 2021).pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
117,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
117,000
0
77,000
0
0
40,000
Annual IC Time Burden (Hours)
58,500
0
38,500
0
0
20,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Decision Review Request: Board Appeal (Notice of Disagreement)
VA Form 10182 (April 2021).pdf
11/07/2021
Appeal to the Board of Veterans' Appeals
VA Form 9 (Feb. 2019).pdf
11/07/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.