Application for Dependency and Indemnity Compensation (DIC), Death Pension and Accrued Benefits by a Surviving Spouse or Child (death Compensation...); Application for DIC by a....

Application for Dependency and Indemnity Compensation (DIC), Death Pension and Accrued Benefits by a Surviving Spouse or Child (Death Compensation..); Application for DIC by a.. (21P-534,534a &534EZ)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0004 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 21P-534 Application for Dependency and Indemnity Compensation (DIC), Death Pension and Accrued Benefits by a Surviving Spouse or Child (death Compensation...); Application for DIC by a.... Form
VA Form 21P-534 Application for Dependency and Indemnity Compensation, D 21P-534(12-29-14).pdf www.va.gov/vaforms Form
VA Form 21P-534a Application for Dependency and Indemnity Compensation by 21P-534a(7-30-14).pdf www.va.gov/vaforms Form
VA Form 21P- 534EZ Application for DIC, Death Pension, and/or Accrued Benef 21P-534EZ(12-22-14).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application for Dependency and Indemnity Compensation (DIC), Death Pension and Accrued Benefits by a Surviving Spouse or Child (death Compensation...); Application for DIC by a....	Agency IC Tracking Number:	2900-0004

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21P-534	Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child	21P-534(12-29-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-534a	Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In Service Death Only	21P-534a(7-30-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P- 534EZ	Application for DIC, Death Pension, and/or Accrued Benefits	21P-534EZ(12-22-14).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: 101,425	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	101,425	-44,095	145,520
Annual IC Time Burden (Hours)	62,856	-24,572	87,428
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.