OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Statement in Support of Claim Filipino Veterans Equity Compensation Fund)

ICR 200902-2900-013 · OMB 2900-0724 · Historical Active

Forms and Documents
Document
Name
Status
Form
 New
Supporting Statement B
2009-03-17
Supporting Statement A
2009-03-17
IC Document Collections
IC ID
Document
Title
Status
188137 New
ICR Details
2900-0724 200902-2900-013
Historical Active
VA
Statement in Support of Claim Filipino Veterans Equity Compensation Fund)
New collection (Request for a new OMB Control Number)   No
Emergency 03/13/2009
Approved with change 03/18/2009
Retrieve Notice of Action (NOA) 03/03/2009
This collection is approved with the following terms of clearance: this collection is approved as an emergency clearance to meet American Reinvestment Recovery Act requirements. This collection will be valid for six months. If VA decides to continue use of the collection past the approved emergency request clearance time period, it must resubmit to OMB under the normal PRA clearance process for a three-year approval.
  Inventory as of this Action Requested Previously Approved
09/30/2009 6 Months From Approved
18,000 0 0
1,500 0 0
0 0 0
VA Form 21-4138(CF) is used to gather information to establish the provision of a one-time payment to an honorably discharged veteran who served, before July 1, 1946 in the organized military forces of the Government of the Commonwealth of the Philippines, including certain service in the Philippine Scouts or in organized guerrilla forces recognized by the United States Army, while such forces were in the service of the Armed Forces of the United States.
VA is requesting an emergency approval for VA Form 21-4138(CF), Statement in Support of Claim, for Filipino Veterans Equity Compensation Fund (FVEC). VA Form 21-4138 is being overprinted to collect information from honorably discharged Filipino veterans' of WWII who served in the Armed Forces of the United States and who may be eligible to receive a one-time payment from FVEC, which is a part of the President's Stimulus Package. The information on VA Form 21-4138(CF)is needed to determine the veteran’s eligibility for payments. Applicants seeking this one-time payment must file their claim on or before February 16, 2010, therefore, VA is requesting approval to use VA Form 21-4138(CF)for one year.
US Code: 38 USC 501 Name of Law: Sec. 501. Rules and regulations
   PL: Pub.L. 111 - 5 1002 Name of Law: American Recovery and Reinvestment
  
Statute at Large: 120 Stat. 2094 Name of Statute: American Recovery and Reinvestment
Not associated with rulemaking
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 18,000 0 18,000 0 0 0
Annual Time Burden (Hours) 1,500 0 1,500 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection of information.
$668,442
No
No
Uncollected
Uncollected
Yes
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/03/2009