Freedom of Information Act (FOIA) or Privacy Act (PA) Request (VA Form 20-10206), Priority Processing Request (20-10207), Document Evidence Submission (20-10208)

Forms and Documents

Document Name	Status
Form VA Form 20-10206 Freedom of Information Act (FOIA) or Privacy Act (PA) Request (VA Form 2010206), Priority Processing Request (VA Form 20-10207), Document/Evidence Submission (VA Form 20-10208) Form	Modified
30-Day FRN - 2900-0877 (2023).pdf Supplementary Document	2023-07-18
2900-0877(Supporting Statement (OMS Forms)(5-9-23).docx Supporting Statement A	2023-07-11
2023-10345.pdf Supplementary Document	2023-05-15

IC Document Collections

IC ID	Document Title	Status
241472	Freedom of Information Act (FOIA) or Privacy Act (PA) Request (VA Form 2010206), Priority Processing Request (VA Form 20-10207), Document/Evidence Submission (VA Form 20-10208) Form	Modified

ICR Details

OMB Control No: 2900-0877	ICR Reference No: 202305-2900-005
Status: Received in OIRA	Previous ICR Reference No: 202112-2900-005
Agency/Subagency: VA	Agency Tracking No: VBA-OMS-NK
Title: Freedom of Information Act (FOIA) or Privacy Act (PA) Request (VA Form 20-10206), Priority Processing Request (20-10207), Document Evidence Submission (20-10208)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/19/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	10/31/2023
Responses	132,301	500,000
Time Burden (Hours)	13,230	50,000
Cost Burden (Dollars)	0	0

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Abstract: VA Form 20-10206 is used by claimants to request access to Federal agency records as long as the record is not exempt from release by one of nine FOIA exemptions. In order to comply with Authentication Process for VBA Privacy/FOIA Requests, OMB M-21-04, the form has been updated to include the DocuSign signature tool. VA Form 20-10207 is used by claimants to notify VA of an urgent or immediate need due to change in status or circumstance for priority processing of claim. VA Form 20-10208 is used by a claimant to request access to Federal agency records as long as the record is not exempt from release by one of nine FOIA exemptions.

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Authorizing Statute(s): US Code: 38 USC 5102(b) Name of Law: Application forms furnished upon request; notice to claimants of incomplete applications
   US Code: 38 USC 5101(a) Name of Law: Claims and Forms
   US Code: 38 USC 501 Name of Law: Rules and Regulations
  

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:
	88 FR 10345	05/15/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 45455	07/17/2023
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Freedom of Information Act (FOIA) or Privacy Act (PA) Request (VA Form 2010206), Priority Processing Request (VA Form 20-10207), Document/Evidence Submission (VA Form 20-10208)	VA Form 20-10207, VA Form 20-10206, VA Form 20-10208	Freedom of Information Act (FOIA) or Privacy Act (PA) Request ,   Priority Processing Request ,   Document/Evidence Submission

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ICR Summary of Burden

	Total Request	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	132,301	500,000	0	-367,699	0	0
Annual Time Burden (Hours)	13,230	50,000	0	-36,770	0	0
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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden decrease is due to the estimated number of receivables averaged over the past year.

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Annual Cost to Federal Government: $1,691,534

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: 07/19/2023

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