Document Evidence Submission (VA Form 20-10208)

Forms and Documents

Document Name	Status
Form 20-10208 Document Evidence Submission (VA Form 20-10208) Form	New
30-Day published 2900-New.pdf Supplementary Document	2025-12-12
2025-17265, 60-Day FRN (VAF20-10208).pdf Supplementary Document	2025-10-02
2900-NEW, Support Statement (VAF20-10208) 2.docx Supporting Statement A	2025-12-12

IC Document Collections

IC ID	Document Title	Status
277058	Document Evidence Submission (VA Form 20-10208) Form	New

ICR Details

OMB Control No:	ICR Reference No: 202508-2900-004
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No: VBA-COMP-KM
Title: Document Evidence Submission (VA Form 20-10208)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/12/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	81,981	0
Time Burden (Hours)	6,832	0
Cost Burden (Dollars)	0	0

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Abstract: VA Form 20-10208 is used by claimants to submit additional evidence or information in support of a claim, update information on a claimant’s VA account. Additionally, this revision adds use by a claimant when submitting evidence as part of a pre-discharge claim. Without this information, VA would not be able to efficiently and successfully process and associate evidence or information of record to a claimant’s file which could negatively affect adjudication and decisions made by VA.

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Authorizing Statute(s): US Code: 38 USC 5102(b) Name of Law: Application forms furnished upon request
   US Code: 38 USC 5101(a) Name of Law: Claims and Forms
   US Code: 38 USC 501 Name of Law: Rules and Regulations
  

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:
	90 FR 43511	09/09/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 57817	12/12/2025
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Document Evidence Submission (VA Form 20-10208)	20-10208	Document Evidence Submission

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ICR Summary of Burden

	Total Request	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	81,981	0	0	81,981	0	0
Annual Time Burden (Hours)	6,832	0	0	6,832	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 with the associated burden from the previous control number with the additional respondents from this proposed modification.

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Annual Cost to Federal Government: $1,417,175

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? No

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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: 12/12/2025

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