Information Collection

Veteran's Supplemental Claim Application (VA Form 21-526b)

IC 28062 under ICR 201712-2900-005 · OMB 2900-0001.

Documents and Forms

Document Name Document Type
Form VA Form 21-526b Veteran's Supplemental Claim Application (VA Form 21-526b) Form
VA Form 21-526b Veterans Supplemental Claim Application 21-526b(IAI-4-18).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Veteran's Supplemental Claim Application (VA Form 21-526b)	Agency IC Tracking Number:	2900-0001

Is this a Common Form? Yes		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	VA Form 21-526b	Veterans Supplemental Claim Application	21-526b(IAI-4-18).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 217,178	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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	217,178	-216,255	433,433
Annual IC Time Burden (Hours)	54,295	-94,887	149,182
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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