Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances (VA Form 21-8951-2)

Forms and Documents

Document Name	Status
Form VA Form 21-8951-2 Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances (21-8951 & 21-8951-2) Form	Modified
2900-0463 Supporting Statement (VAF 21-8951-2)_JK.docx Supporting Statement A	2020-01-13

IC Document Collections

IC ID	Document Title	Status
28659	Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances (21-8951 & 21-8951-2) Form	Modified

ICR Details

OMB Control No: 2900-0463	ICR Reference No: 201904-2900-001
Status: PreApproved	Previous ICR Reference No: 201710-2900-011
Agency/Subagency: VA	Agency Tracking No: VBA-COMP-NK
Title: Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances (VA Form 21-8951-2)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Preapproved	Conclusion Date: 01/23/2020
	Date Received in OIRA: 01/22/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2023	36 Months From Approved	05/31/2021
Responses	210	0	21,000
Time Burden (Hours)	35	0	3,500
Cost Burden (Dollars)	0	0	0

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Abstract: As the purpose of RIN # 2900-AP86, Active Service Pay, is to amend the adjudication regulations and permit VA to suspend disability compensation payments upon receipt of notice from the Department of Defense, VA will no longer need our computer-generated system to release the scheduled batch print of VAF 21-8951 and wait the 60-day due process period. However, VA Form 21-8951-2 will still be made available for usage should the beneficiary/reservist need to report the number of days he/she trained and to file a waiver of VA disability benefits. With the removal of the computer generated VA Form 21-8951, VA is requesting a revision to correct the estimate of burden.

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Authorizing Statute(s): US Code: 10 USC 12316 Name of Law: Payment of Certain Reserves While on duty
   US Code: 38 USC 5304 Name of Law: Prohibition Against Duplication of Benefits
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2900-AP86	Proposed rulemaking	84 FR 16421	04/19/2019

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances (21-8951 & 21-8951-2)	VA Form 21-8951-2	Notice of Waiver of VA Compensation or Pension to Receive Military Pay and Allowances

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ICR Summary of Burden

	Total Preapproved	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	210	21,000	0	-20,790	0	0
Annual Time Burden (Hours)	35	3,500	0	-3,465	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: As the purpose of RIN # 2900-AP86, Active Service Pay, is to amend the adjudication regulations and permit VA to suspend disability compensation payments upon receipt of notice from the Department of Defense, VA will no longer need our computer-generated system to release the scheduled batch print of VAF 21-8951 and wait the 60-day due process period. However, VA Form 21-8951-2 will still be made available for usage should the beneficiary/reservist need to report the number of days he/she trained and to file a waiver of VA disability benefits. With the removal of the computer generated VA Form 21-8951, VA is requesting a revision to correct the estimate of burden.

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Annual Cost to Federal Government: $9,149

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/22/2020

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