Title:Exam for Housebound Status or Permanent Need for Regular Aid and Attendance, VA Form 21-2680.
OMB Control Number:2900-NEW (21-2680).
Type of Review:New collection.
Abstract:VA will use VA Form 21-2680 to gather medical information that is necessary to determine beneficiaries or claimants receiving treatment from private doctors or physicians, eligibility for aid and attendance or housebound benefit.
An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. TheFederal RegisterNotice with a 60-day comment period soliciting comments on this collection of information was published on July 23, 2008, at pages 42922-42923.
Affected Public:Business or other for-profit.
Estimated Annual Burden:7,000 hours.
Estimated Average Burden per Respondent:30 minutes.
Frequency of Response:One time.
Estimated Number of Respondents:14,000.
Dated: September 26, 2008.
By direction of the Secretary.
Program Analyst, Records Management Service.