APPLICATION FOR DEPENDENCY AND INDEMNITY COMPENSATION OR DEATH PENSION BY SURVIVING SPOUSE OR CHILD (INCLUDING ACCRUED BENEFITS AND DEATH COMPENSATION, WHERE APPLICABLE)
ICR 198309-2900-008
OMB: 2900-0004
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2900-0004 can be found here:
APPLICATION FOR DEPENDENCY
AND INDEMNITY COMPENSATION OR DEATH PENSION BY SURVIVING SPOUSE OR
CHILD (INCLUDING ACCRUED BENEFITS AND DEATH COMPENSATION, WHERE
APPLICABLE)
VA FORM 21-534 IS AN INITIAL
APPLICATION REQUIRED TO FILE A CLAIM FOR DEPENDENCY AND INDEMNITY
COMPENSATION OR DEATH PENSION BENEFITS BY A SURVIVING SPOUSE AND/OR
CHILD/REN. THE INFORMATION REQUIRED IS USED T DETERMINE
ELIGIBILITY, DEPENDENCY, DISABILITY AND INCOME DATA, AS
APPLICABLE.
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.