Information Collection

Application for Chapter 23 Burial Benefits (VA Form 21P-530EZ)

IC 248818 under ICR 202108-2900-005 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21P-530EZ Application for Chapter 23 Burial Benefits (VA Form 21P-530EZ)	Form
21P-530EZ Application for Chapter 23 Burial Benefits VA Form 21P-530EZ-8-10-21 (508 Conformant 6-8-20).pdf www.va.gov/vaforms	Form
21P-530EZ Application for Chapter 23 Burial Benefits VA Form 21P-530EZ-8-10-21 (508 Conformant 6-8-20).pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.1703

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-530EZ	Application for Chapter 23 Burial Benefits	VA Form 21P-530EZ-8-10-21 (508 Conformant 6-8-20).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: 84 FR 4138

Number of Respondents: 140,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	140,000	140,000
Annual IC Time Burden (Hours)	70,000	70,000
Annual IC Cost Burden (Dollars)	0	0

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.