Information Collection

Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847)

IC 189428 under ICR 202108-2900-010 · OMB 2900-0740.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0740 can be found here:

Documents and Forms

Document Name Document Type
Form 21P-0847 Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847) Form
21P-0847 Request for Substitution of Claimant upon Death of Claim VA Form 21P-0847 (OMB Exp. 11-30-21).pdf www.va.gov/vaforms Form
21P-0847 Request for Substitution of Claimant upon Death of Claim VA Form 21P-0847 (OMB Exp. 11-30-21).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847)	Agency IC Tracking Number:

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-0847	Request for Substitution of Claimant upon Death of Claimant	VA Form 21P-0847 (OMB Exp. 11-30-21).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: 20,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	20,000	20,000
Annual IC Time Burden (Hours)	1,667	1,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.