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

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

Documents and Forms

Document Name Document Type
Form VA Form 21P-0970 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

Information Collection (IC) Details

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

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21P-0970	Notice of Disagreement (NOD) (Pension, Dependency and Indemnity Compensation (DIC), Burial and Accrued	21P-0970(4-27-16).pdf	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 %

	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

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.