Statement of Dependency of Parent(s)

Statement of Dependency of Parent(s) (VA Form 21P-509)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0089 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 21P-509 Statement of Dependency of Parent(s) Form
VA Form 21P-509 Statement of Dependency of Parent(s) 21P-509(10-2-20).pdf www.va.gov/vaforms Form
VA Form 21P-509 Statement of Dependency of Parent(s) 21P-509(10-2-20).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Statement of Dependency of Parent(s)	Agency IC Tracking Number:	2900-0089

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.4 38 CFR 3.250

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21P-509	Statement of Dependency of Parent(s)	21P-509(10-2-20).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: 86 FR 7

Number of Respondents: 8,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	95,440	95,440

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.