APPLICATION FOR ACCRUED AMOUNTS OF VETERANS BENEFITS PAYABLE TO WIDOW, WIDOWER, CHILD OR DEPENDENT PARENTS

ICR 198107-2900-046

OMB: 2900-0006

Federal Form Document

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Document
Name
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No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
2900-0006 198107-2900-046
Historical Active 198012-2900-002
VA
APPLICATION FOR ACCRUED AMOUNTS OF VETERANS BENEFITS PAYABLE TO WIDOW, WIDOWER, CHILD OR DEPENDENT PARENTS
No material or nonsubstantive change to a currently approved collection   No
Emergency 07/17/1981
Approved with change 07/17/1981
Retrieve Notice of Action (NOA) 07/17/1981
  Inventory as of this Action Requested Previously Approved
07/31/1984 07/31/1984 11/30/1985
8,000 0 8,000
4,000 0 4,000
0 0 0

THIS APPLICATION IS REQUIRED TO FILE A CLAIM FOR ANY ACCRUED BENEFITS AVAILABLE AT THE TIME OF THE VETERAN'S DEATH IF THE DEPENDENT OR PARENT HAS NOT FILED A CLAIM FOR DEATH BENEFITS WITH VA FROM 21-535. THE INFORMATION REQUIRED IS NECESSARY TO DETERMINE ALL PERSONS WHO ARE ELIGIBLE FOR PAYMENT OF THE ACCRUED BENEFITS, AND TO INSURE THAT THE APPROPRIATE CLAIMANT OR CLASS OF CLAIMANTS ARE PAID. AUTHORITY IS 38 U.S.C. 3021

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR ACCRUED AMOUNTS OF VETERANS BENEFITS PAYABLE TO WIDOW, WIDOWER, CHILD OR DEPENDENT PARENTS 21-614

  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 8,000 8,000 0 0 0 0
Annual Time Burden (Hours) 4,000 4,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
07/17/1981


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