Information Collection

Notice of Disagreement (NOD) (Pension, Dependency and Indemnity Compensation (DIC), Burial, and Accrued), VA Form 21P-0970

IC 221379 under ICR 201605-2900-001 · OMB 2900-0854.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 21P-0970 Notice of Disagreement (NOD) (Pension, Dependency and Indemnity Compensation (DIC), Burial and Accrued Notice of Disagreement (NOD) (Pension, Dependency and Indemnity Compensation (DIC), Burial, and Accrued), VA Form 21P-0970	Form
VA Form 21P-0970 Notice of Disagreement (NOD) (Pension, Dependency and In 21P-0970(4-27-16).pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

2900-NEW

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 20.201 38 CFR 20.302 38 CFR 20.501

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-0970			www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)

FR Citation: 74 FR 29275

Number of Respondents: 12,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,000	12,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	121,350	121,350

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.

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