Information Collection Request

Voluntary Appeal File (VAF) Application Form

ICR 202207-1110-001 · OMB 1110-0043 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form UnNumbered Voluntary Appeal File (VAF) Application Form and Instruction Modified Available
Form UnNumbered Voluntary Appeal File Brochure Form and Instruction Modified Repair queued
83-I VAF.pdf Supplementary Document Uploaded 2022-10-05 Repair queued
Paperwork Certification VAF.docx Supplementary Document Uploaded 2022-10-03 Repair queued
Memorandum with Approval.pdf Supplementary Document Uploaded 2022-10-03 Repair queued
Legal Authority for VAF.pdf Supplementary Document Uploaded 2022-10-03 Repair queued
VAF Supporting Statement.docx Supporting Statement A Uploaded 2022-10-03 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
11851 Voluntary Appeal File Brochure Form and Instruction ModifiedVoluntary Appeal File (VAF) Application
11851 Voluntary Appeal File Brochure Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2025 36 Months From Approved 12/31/2022
3,737 0 4,000
1,869 0 2,000
0 0 73,600





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Voluntary Appeal File Brochure UnNumbered

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 3,737 4,000 0 -263 0 0
Annual Time Burden (Hours) 1,869 2,000 0 -131 0 0
Annual Cost Burden (Dollars) 0 73,600 0 -73,600 0 0


Reginfo record details
  No