Application For Dependency And Indemnity Compensation Or Death Pension By Surviving Spouse Or Child (including Accrued Benefits And Death Compensation, Where Applicable)
APPLICATION FOR DEPENDENCY AND INDEMNITY COMPENSATION OR DEATH PENSION BY SURVIVING SPOUSE OR CHILD (INCLUDING ACCRUED BENEFITS AND DEATH COMPENSATION, WHERE APPLICABLE)
OMB: 2900-0004
IC ID: 146467
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0004 can be found here: