APPLICATION FOR DEPENDENCY AND INDEMNITY COMPENSATION BY A SURVIVING SPOUSEOR CHILD - IN SERVICE DEATH (VA FORM 21P-534a)

Appl. for DIC, Death Pension, and/or Accrued Benefits (21P-534EZ); Appl. for Dependency and Indemnity Compensation by a Surviving Spouse or Child; Appl. for Dependency and Indemnity Compensation

OMB: 2900-0004

IC ID: 28073

Information Collection (IC) Details

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APPLICATION FOR DEPENDENCY AND INDEMNITY COMPENSATION BY A SURVIVING SPOUSEOR CHILD - IN SERVICE DEATH (VA FORM 21P-534a) 2900-0004
 
No Removed
 
Required to Obtain or Retain Benefits
 
38 CFR 3.5

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21P-534a Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In Service Death Only 2900-0004 21P-534a (1-10-18) OMB Expiring.pdf https://www.vba.va.gov/pubs/forms/VBA-21P-534a-ARE.pdf Yes No Fillable Printable

General Government Legislative Functions

Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)  77 FR 42593

1,426 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 0 -1,426 0 1,426
Annual IC Time Burden (Hours) 0 0 0 -357 0 357
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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