Application for Annual Clothing Allowance (VA Form 10-8678)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VA Form 10-8678 Application for Annual Clothing Allowance Under Title 38 U.S.C. 1162	Form	Modified	Available
Form VA Form 10-8678 Application for Annual Clothing Allowance Under 38 U.S.C. 1162 (VA Form 10-8678)	Form	Modified	Repair queued
30-day FRN_2900-0198_Application for Annual Clothing Allowance - VA Form 10-8678_published 12142022.pdf	Supplementary Document	Uploaded 2022-12-14	Repair queued
60-day FRN_2900-0198_Application for Annual Clothing Allowance - VA Form 10-8678_published 10072022.pdf	Supplementary Document	Uploaded 2022-10-18	Repair queued
Supporting Statement A_Application for Annual Clothing Allowance_2900-0198_updated Dec 2022.docx	Supporting Statement A	Uploaded 2022-12-14	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28438	Application for Annual Clothing Allowance Under 38 U.S.C. 1162 (VA Form 10-8678)	Form	Modified	Application for Annual Clothing Allowance Under Title 38 U.S.C. 1162
28438	Application for Annual Clothing Allowance Under 38 U.S.C. 1162 (VA Form 10-8678)	Form	Modified

ICR Details

OMB Control No: 2900-0198	ICR Reference No: 202204-2900-004
Status: Historical Active	Previous ICR Reference No: 201605-2900-005
Agency/Subagency: VA	Agency Tracking No: 2900-0198
Title: Application for Annual Clothing Allowance (VA Form 10-8678)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/23/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/14/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2026	36 Months From Approved
Responses	6,720	0	0
Time Burden (Hours)	1,120	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Department of Veterans Affairs (VA) through its Veterans Health Administration (VHA) administers an integrated program of benefits and services, established by law, for veterans, service personnel, and their dependents and/or beneficiaries. Information is requested by this form under the authority of 38 U.S.C., Section 1162, Clothing Allowance, which provides authority for the Secretary to pay a clothing allowance to veterans who, because of a service-connected disability, wear or use a prosthetic or orthopedic appliance (including a wheelchair) which tends to wear out or tear clothing or uses medication that causes irreparable damage to the outer garments. Entitlement to this benefit is granted by 38 CFR 3.810, Clothing Allowance, upon application by the eligible individual. VA Form 10-8678 is used to collect the necessary information to determine if the veteran has established entitlement to a clothing allowance payment.

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Authorizing Statute(s): US Code: 38 USC Part IV, Chpt. 57, Section 57 Name of Law: Confidential Nature of Claims
   PL: Pub.L. 107 - 247 2 Name of Law: Veterans Compensation Cost of Living Adjustment Act of 2002
   US Code: 38 USC Section 1162 Name of Law: Clothing Allowance
   US Code: 38 USC Part V, Chpt. 73, Section 7332 Name of Law: Confidentiality of Certain Medical Records
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 61148	10/07/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 76543	12/14/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application for Annual Clothing Allowance Under 38 U.S.C. 1162 (VA Form 10-8678)	VA Form 10-8678	Application for Annual Clothing Allowance Under Title 38 U.S.C. 1162

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,720	0	0	0	0	6,720
Annual Time Burden (Hours)	1,120	0	0	0	0	1,120
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $299,034

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/14/2022

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