OMB control number
Decision Review Request: Higher Level Review (VA Form 20-0996)
OMB 2900-0862 ยท VA.
OMB 2900-0862
VA Form 20-0996 is used by the claimant to request a higher-level review of a decision made by VA as the agency of original jurisdiction. Without the information solicited by this form, VA would be unable to initiate the Higher-Level Review on behalf of the claimant or determine the issues for which the claimant seeks review. The frequency of collection depends solely upon the desire of VA claimants to seek a Higher-Level Review of an initial VA decision. In that sense, VA does not control the frequency of collection.
The latest form for Decision Review Request: Higher Level Review (VA Form 20-0996) expires 2027-03-31 and is listed under ICR 202312-2900-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA Form 20-0996 Decision Review Request: Higher-Level Review (VA Form 20-0996) | Form |
 SupportStatement(2900-0862).docx | Supporting Statement A |
| 2024-03132.pdf | Supplementary Document |
| 2023-27360, 60DAY FRN (0996).pdf | Supplementary Document |
 Decision Review Request: Higher-Level Review (VA Form 20-0996) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202312-2900-002 | Revision of a currently approved collection | 2024-02-15 | Approved with change | |
| 202208-2900-008 | No material or nonsubstantive change to a currently approved collection | 2022-08-19 | Approved without change | |
| 202011-2900-002 | Revision of a currently approved collection | 2021-02-25 | Approved without change | |
| 201901-2900-005 | New collection (Request for a new OMB Control Number) | 2019-01-30 | Approved without change | |
| 201807-2900-001 | New collection (Request for a new OMB Control Number) | 2018-11-19 | Comment filed on proposed rule |