Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable)
Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Applicable)
OMB: 2900-0004
IC ID: 42173
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0004 can be found here: