Voluntary Appeal File Brochure

Voluntary Appeal File (VAF) Application Form

Documents and Forms

Document Name Document Type
Form unNumbered Voluntary Appeal File Brochure Form and Instruction
unNumbered Voluntary Appeal File (VAF) Application Form 1110-0043_Revised VAF Application.docx Form and Instruction
Privacy Act Statement Screenshot.png Privacy Act Statement Screenshot for Online VAF Application IC Document

Information Collection (IC) Details

IC Title:	Voluntary Appeal File Brochure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	unNumbered	Voluntary Appeal File (VAF) Application Form	1110-0043_Revised VAF Application.docx		Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,073	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,073	7,336	3,737
Annual IC Time Burden (Hours)	5,537	3,668	1,869
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Privacy Act Statement Screenshot for Online VAF Application	Privacy Act Statement Screenshot.png	07/11/2019

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