Alternate Signer Certification

Alternate Signer Certification (VA Form 21-0972)

OMB: 2900-0849

IC ID: 220635

Information Collection (IC) Details

View Information Collection (IC)

Alternate Signer Certification 2900-0849
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 21-0972 Alternate Signer Certification 21-0972(10-19-22).pdf Yes No Fillable Printable

General Government Legislative Functions

58VA21/22/28, Compensation, Pension, Education, and Veterans Readiness and Employment Records  87 FR 8740

18,575 0
Individuals or Households
   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 18,575 0 13,575 0 0 5,000
Annual IC Time Burden (Hours) 4,644 0 3,394 0 0 1,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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