OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Attachment A: Additional Disclosure and Conditions

IC 278603 under ICR 202512-2900-014 · OMB 2900-0029.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form 26-6705j
Attachment A: Additional Disclosures and Conditions Attachment A: Additional Disclosure and Conditions		 Form
26-6705j Attachment A: Additional Disclosures and Conditions
Attachment_A_3-16-26.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 26-6705j www.va.gov/vaforms Yes No Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested 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 4,086 0 4,086 0 0 0
Annual IC Time Burden (Hours) 340 0 340 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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