Information Collection

Regulation for Reconsideration of Denied Claims

IC 28839 under ICR 201602-2900-041 · OMB 2900-0600.

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IC Title:	Regulation for Reconsideration of Denied Claims	Agency IC Tracking Number:	2900-0600

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 17.133

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 101,652	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	101,652	101,652
Annual IC Time Burden (Hours)	50,826	50,826
Annual IC Cost Burden (Dollars)	0	0

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