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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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:

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 21-4718	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

Federal Enterprise Architecture Business Reference Module

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 %

table that charts list of burden
	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

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.