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 201502-2900-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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 21P-4706c 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 21P-4706c COURT APPOINTED FIDUCIARY'S ACCOUNT VA Form 21P-4706c (508 Compliant 5-19-15).pdf www.va.gov/vaforms	Form
VA Form 21P-4706b VA FIDUCIARY'S ACCOUNT VA Form 21P-4706b (508 Compliant 5-20-15).pdf www.va.gov/vaforms	Form
VA Form 21P-4718a CERTIFICATE OF BALANCE ON DEPOSIT AND AUTHORIZATION TO D VA Form 21P-4718a (508 Compliant 5-13-15).pdf www.va.gov/vaforms	Form
Changes to VA Form 4706b.docx Changes to VA Form 21-4706b	IC Document
2900-0017 justification (Active) edits.docx Justification for Accounting Forms	IC Document
60-day FRN Accounting Forms.doc 60 day FRN	IC Document
30 day FRN Accounting Forms.doc 30 day FRN	IC Document

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 13.58 38 CFR 13.61 38 CFR 13.57 38 CFR 13.62

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 21P-4706c	COURT APPOINTED FIDUCIARY'S ACCOUNT	VA Form 21P-4706c (508 Compliant 5-19-15).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-4706b	VA FIDUCIARY'S ACCOUNT	VA Form 21P-4706b (508 Compliant 5-20-15).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-4718a	CERTIFICATE OF BALANCE ON DEPOSIT AND AUTHORIZATION TO DISCLOSE FINANCIAL RECORDS	VA Form 21P-4718a (508 Compliant 5-13-15).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: 35,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	35,000	3,488	31,512
Annual IC Time Burden (Hours)	11,667	-17,899	29,566
Annual IC Cost Burden (Dollars)	378,000	378,000	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Changes to VA Form 21-4706b	Changes to VA Form 4706b.docx	02/23/2015
Justification for Accounting Forms	2900-0017 justification (Active) edits.docx	05/12/2015
60 day FRN	60-day FRN Accounting Forms.doc	05/12/2015
30 day FRN	30 day FRN Accounting Forms.doc	05/12/2015

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