Title:Pre-Discharge Compensation Claim, VA Form 21-0842.
OMB Control Number:2900-New (21-0842).
Type of Review:New collection.
Abstract:The Pre-Discharge Compensation Claim form will be used by service members to file claims under the Benefits Delivery at Discharge or Quick Start programs. VA will use the data collected as the required certification statement needed from claimants to confirm that the information they provided is true and correct.
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 May 26, 2009, at page 24902.
Affected Public:Individuals or households.
Estimated Annual Burden:40,250.
Estimated Average Burden per Respondent:15 minutes.
Frequency of Response:On occasion.
Estimated Number of Respondents:161,000.
Dated: July 30, 2009.
By direction of the Secretary
Program Analyst, Enterprise Records Service.