Pay Now Enter Info Page

OMB 2900-0663

Information requested on this form is used to initiate voluntary online payments from persons owing debts as a result of participation in VA benefit programs. The data is stored on a VA Web server and is used later in the transaction to associate an online payment with an indebtedness account.

The latest form for Pay Now Enter Info Page expires 2023-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 2900-0663 Pay Now Enter Info Page Form and Instruction
30-day FRN for 2900-0663.pdf Supplementary Document
FY23PayVAPIA.pdf Supplementary Document
Supporting Statement Part A 2023 (PayVA) (ROCIS Upload pre30).docx Supporting Statement A
60 Day FRN Published (Friday 070723 Vol. 88 No. 129 FRN Page 43421-43422) (PayVA).pdf Supplementary Document
Pay Now Enter Info Page Form and Instruction

All Historical Document Collections

202306-2900-024 Approved with change	Extension without change of a currently approved collection	2023-09-12
201911-2900-002 Approved without change	Reinstatement with change of a previously approved collection	2020-06-22
201404-2900-022 Approved without change	Revision of a currently approved collection	2014-05-20
201010-2900-010 Approved without change	Extension without change of a currently approved collection	2011-02-25
200710-2900-026 Approved without change	Extension without change of a currently approved collection	2008-02-26
200504-2900-005 Approved without change	New collection (Request for a new OMB Control Number)	2005-04-26