Information Collection Request
VA MATIC Enrollment/Change (VA Form 29-0165)
ICR 202211-2900-006 · OMB 2900-0525 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2900-0525 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form VA Form 29-0165 VA MATIC Enrollment/Change |
Form | Modified | Repair queued |
 2023-01032.pdf |
Supplementary Document | Uploaded 2023-01-20 | Repair queued |
| Published 60-Day.pdf |
Supplementary Document | Uploaded 2022-11-18 | Missing upstream |
 Supporting Statement.docx |
Supporting Statement A | Uploaded 2022-11-18 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 28715 |  VA MATIC Enrollment/Change |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0525 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 201902-2900-006 |
| Agency Tracking No | VBA-INS-NK |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |