Information Collection

Notice of Lapse & Application for Reinstatement

IC 28339 under ICR 202203-2900-011 · OMB 2900-0128.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 29-389 Notice of Lapse & Application for Reinstatement	Form
29-389 Notice of Lapse & Application for Reinstatement VBA-29-389-03182022.pdf www.va.gov/vaforms	Form
29-389 Notice of Lapse & Application for Reinstatement VBA-29-389-03182022.pdf www.va.gov/vaforms	Form
29-389-1 Notice of Past Due Payment & Application for Reinstateme VBA-29-389-1-03172022.pdf	Form
29-389-1 Notice of Past Due Payment & Application for Reinstateme VBA-29-389-1-03172022.pdf	Form

IC Title:

Agency IC Tracking Number:

2900-0128

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 8.11

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	29-389	Notice of Lapse & Application for Reinstatement	VBA-29-389-03182022.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	29-389-1	Notice of Past Due Payment & Application for Reinstatement	VBA-29-389-1-03172022.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 23,352

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	23,352	0	23,352
Annual IC Time Burden (Hours)	4,459	178	4,281
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.