Information Collection

Decision Review Request: Board Appeal (Notice of Disagreement) (New)

IC 28952 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⚠️ Notice: This information collection may be referencing outdated material.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 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

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	117,000	77,000	40,000
Annual IC Time Burden (Hours)	58,500	38,500	20,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.