OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Reports of: General Information, First Notice of Death, Nursing Home or Assisted Living, Defense Finance & Accounting, Non-Receipt of Payment, Incarceration, Month of Death

IC 187592 under ICR 202409-2900-015 · OMB 2900-0734.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form VA Form 27-0820a
Reports of: General Information, First Notice of Death, Nursing Home or Assisted Living, Defense Finance & Accounting, Non-Receipt of Payment, Incarceration, Month of Death		 Form
VA Form 27-0820a Report of First Notice of Death
27-0820a(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820a Report of First Notice of Death
27-0820a(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820b Report of Nursing Home or Assisted Living Information
27-0820b(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820b Report of Nursing Home or Assisted Living Information
27-0820b(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820c Report of Defense Finance and Accounting Service (DFAS)
27-0820c(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820c Report of Defense Finance and Accounting Service (DFAS)
27-0820c(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820d Report of Non-Receipt of Payment
27-0820d(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820d Report of Non-Receipt of Payment
27-0820d(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820e Report of Incarceration
27-0820e(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820e Report of Incarceration
27-0820e(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820f Report of Month of Death
27-0820f(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820f Report of Month of Death
27-0820f(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820 Report of General Information
27-0820(9-27-24).pdf
www.va.gov/vaforms 		Form
VA Form 27-0820 Report of General Information
27-0820(9-27-24).pdf
www.va.gov/vaforms 		Form

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 27-0820a Report of First Notice of Death 27-0820a(9-27-24).pdf www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 27-0820b Report of Nursing Home or Assisted Living Information 27-0820b(9-27-24).pdf www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 27-0820c Report of Defense Finance and Accounting Service (DFAS) 27-0820c(9-27-24).pdf www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 27-0820d Report of Non-Receipt of Payment 27-0820d(9-27-24).pdf www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 27-0820e Report of Incarceration 27-0820e(9-27-24).pdf www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 27-0820f Report of Month of Death 27-0820f(9-27-24).pdf www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 27-0820 Report of General Information 27-0820(9-27-24).pdf www.va.gov/vaforms Yes No Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  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 2,550,000 0 0 0 0 2,550,000
Annual IC Time Burden (Hours) 212,500 0 0 0 0 212,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.