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⚠️ Notice: This information collection may be referencing outdated material.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

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:

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

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 %

	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

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.