Information Collection

Fiduciary Statement in Support of Appointment (21P-0792)

IC 28948 under ICR 201704-2900-001 · OMB 2900-0670.

Documents and Forms

Document Name Document Type
Form 21P-792 Fiduciary Statement in Support of Appointment (21P-0792) Form
21P-792 Fiduciary Statement in Support of Appointment VA 21P-0792 (508 Conformant 5-18-17).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Fiduciary Statement in Support of Appointment (21P-0792)	Agency IC Tracking Number:	2900-0670 VBA-P&F-YM

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	21P-792	Fiduciary Statement in Support of Appointment	VA 21P-0792 (508 Conformant 5-18-17).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: 43,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	43,000	35,500	7,500
Annual IC Time Burden (Hours)	10,750	8,875	1,875
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.