Information Collection

VBA Disability Compensation Non-Rating Claims Survey

IC 275567 under ICR 202503-2900-010 · OMB 2900-0876.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0876 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VBA DC Non-Rating VBA DC Non-Rating Claims Survey VBA Disability Compensation Non-Rating Claims Survey	Form and Instruction
VBA DC Non-Rating VBA DC Non-Rating Claims Survey CS Proposed Non-Rating Survey Invitations and Questions_20250603.docx	Form and Instruction
ICR Template_A11 Section 280 Clearance_Non-Rating Claims_20250529.docx ICR A11 Section 280 Clearance	IC Document

IC Title:

VBA Disability Compensation Non-Rating Claims Survey

Agency IC Tracking Number:

2900-0876 VBA DC Non-Rating Claims Survey

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	VBA DC Non-Rating Claims Survey				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title: Veterans, Dependents of Veterans, and Veteran Beneficiaries

FR Citation: 86 FR 6992

Number of Respondents: 25,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	2,083	2,083
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ICR A11 Section 280 Clearance		06/03/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].