Information Collection

Application for Accrued Amounts Due a Deceased Beneficiary, VA Form 21P-601

IC 28464 under ICR 201902-2900-004 · OMB 2900-0216.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0216 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21P-601 Application for Accrued Amounts Due a Deceased Beneficiary, VA Form 21P-601	Form
21P-601 APPLICATION FOR ACCRUED AMOUNTS DUE A DECEASED BENEFICIA VA Form 21P-601 (508 Conformant 3-27-19).pdf www.va.gov/vaforms	Form

IC Title:

Application for Accrued Amounts Due a Deceased Beneficiary, VA Form 21P-601

Agency IC Tracking Number:

21P-601

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.1000 38 CFR 3.1001

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	21P-601	APPLICATION FOR ACCRUED AMOUNTS DUE A DECEASED BENEFICIARY	VA Form 21P-601 (508 Conformant 3-27-19).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: 15,840

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	Previously Approved
Annual Number of Responses for this IC	15,840	0	15,840
Annual IC Time Burden (Hours)	7,920	0	7,920
Annual IC Cost Burden (Dollars)	0	-160,182	160,182

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.