Agreement for Release of VA Education Information to Third Party

Forms and Documents

Document Name	Status
Form VA Form 22-0830 Agreement for Release of VA Education Information to Third Party Form	New
Supp_Statement_for_3rd_party_form[1].doc Supporting Statement A	2008-08-28

IC Document Collections

IC ID	Document Title	Status
184844	Agreement for Release of VA Education Information to Third Party Form	New

ICR Details

OMB Control No: 2900-0729	ICR Reference No: 200805-2900-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: Agreement for Release of VA Education Information to Third Party
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/03/2009
	Date Received in OIRA: 08/28/2008
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved. However, within one year the agency must report to OMB on their consideration of alternatives to using social security numbers for tracking purposes where possible or to use the last four digits only.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2012	36 Months From Approved
Responses	132,000	0	0
Time Burden (Hours)	11,000	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: VA cannot disclose any information regarding a person's benefits to anyone other than the claimant and anyone he or she specifies as an authorized third party. With regard to a person's education benefit, many times spouses or parents call on the claimant's behalf regarding dates of payment, status of claim or rates of payment. Without the claimant's written consent we cannot divulge any information on the claimant's behalf. Because so many of our claimants are on active duty and overseas, it's very difficult for them to inquire about their benefit. This form will give Veterans Claims Examiners (VCEs) the permission to disclose benefit information to specified third parties.

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Authorizing Statute(s): US Code: 38 USC 5701 Name of Law: Confidential Nature of Claims
   US Code: 5 USC 552b Name of Law: The Privacy Act of 1974
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 107	06/03/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 167	08/27/2008
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
Agreement for Release of VA Education Information to Third Party	VA Form 22-0830	Agreement For Release Of VA Education Information To Third Party

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ICR Summary of Burden

	Total Approved	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	132,000	0	0	132,000	0	0
Annual Time Burden (Hours)	11,000	0	0	11,000	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new collection of information.

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Annual Cost to Federal Government: $389,800

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

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: 08/28/2008

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