Supplement to VA Forms 21-526, 21-534, and 21-535 (For Philippine Claims)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0094 can be found here:

Documents and Forms

Document Name Document Type
Form 21-4169 Supplement to VA Forms 21-526, 21-534, and 21-535 (For Philippine Claims) Form
21-4169 Supplement to VA Forms 21-526, 21-534, and 21-535 (For P 21-4169.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supplement to VA Forms 21-526, 21-534, and 21-535 (For Philippine Claims)	Agency IC Tracking Number:	2900-0094

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.40

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21-4169	Supplement to VA Forms 21-526, 21-534, and 21-535 (For Philippine Claims)	21-4169.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.