Information Collection

Court Appointed Fiduciary's Account (letter size), Federal Fiduciary's Account, Account Book, and Court Appointed Fiduciary's Account, Certificate of Balance on Deposit and....

IC 28106 under ICR 201205-2900-004 · OMB 2900-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0017 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 21-4718 Court Appointed Fiduciary's Account (letter size), Federal Fiduciary's Account, Account Book, and Court Appointed Fiduciary's Account, Certificate of Balance on Deposit and.... Form
VA Form 21-4718 Account Book 2900-0017 VA Form 21-4718.pdf Form
VA Form 21-4718a Certificate of Balance on Deposit and Authorization to D 21-4718a.pdf www.va.gov/vaforms Form
VA Form 21-4706 Annual-Final Report and Account 21-4706.pdf www.va.gov/vaforms Form
VA Form 21-4706b Federal Fiduciary's Account 21-4706b.pdf www.va.gov/vaforms Form
VA Form 21-4706c Court Appointed Fiduciary's Account 21-4706c.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Court Appointed Fiduciary's Account (letter size), Federal Fiduciary's Account, Account Book, and Court Appointed Fiduciary's Account, Certificate of Balance on Deposit and....	Agency IC Tracking Number:	2900-0017

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 13.57 38 CFR 13.61 38 CFR 13.62 38 CFR 13.58

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21-4718	Account Book	2900-0017 VA Form 21-4718.pdf		No		Paper Only
Form	VA Form 21-4718a	Certificate of Balance on Deposit and Authorization to Disclose Financial Records	21-4718a.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-4706	Annual-Final Report and Account	21-4706.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-4706b	Federal Fiduciary's Account	21-4706b.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-4706c	Court Appointed Fiduciary's Account	21-4706c.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: 31,512	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	31,512	0	31,512
Annual IC Time Burden (Hours)	29,566	-3	29,569
Annual IC Cost Burden (Dollars)	0	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.