Information Collection

Application for Burial Benefits (Under 38 U.S.C. Chapter 23)

IC 28070 under ICR 200811-2900-013 · OMB 2900-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 21-530 Application for Burial Benefits (Under 38 U.S.C. Chapter 23)	Form
VA Form 21-530 Application for Burial Benefits 21-530(11-08).pdf www.va.gov/vaforms	Form

IC Title:

Application for Burial Benefits (Under 38 U.S.C. Chapter 23)

Agency IC Tracking Number:

2900-0003

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21-530	Application for Burial Benefits	21-530(11-08).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	300,000	0	300,000
Annual IC Time Burden (Hours)	110,000	10,000	100,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.