Application for Veterans Pension (VA Form 21P-527EZ) and (VA Form 21P-527)

ICR 202203-2900-018

OMB: 2900-0002

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
2900-0002 202203-2900-018
Received in OIRA 202005-2900-015
VA VBA-P&F-YA
Application for Veterans Pension (VA Form 21P-527EZ) and (VA Form 21P-527)
Revision of a currently approved collection   No
Regular 06/14/2022
  Requested Previously Approved
36 Months From Approved 01/31/2023
53,958 100,000
24,731 56,250
0 0

VA Form 21P-527EZ, is the prescribed form for claiming Veterans Pension under the Fully Developed Claim program. VA Form 21P-527 is used to gather the necessary information to determine a veteran’s eligibility for Veterans Pension. Without this information, VA will not be able to determine a Veteran’s eligibility to the benefit. A Veteran may also use this form to file a new Veterans Pension claim after VA has discontinued a previous pension award and the Veteran is requesting his or her benefits be reinstated.

US Code: 38 USC 1503 Name of Law: Determinations with respect to annual income
   US Code: 38 USC 1502 Name of Law: Determinations with respect to disability
   US Code: 38 USC 5101(a) Name of Law: Claims and Forms
  
None

Not associated with rulemaking

  87 FR 18484 03/30/2022
87 FR 35852 06/13/2022
No

1
IC Title Form No. Form Name
Application for Veterans Pension (VA Form 21P-527EZ),and (VA Form 21P-527) 21P-527EZ, 21P-527 Income, Net Worth and Employment Statement ,   Application for Veterans Pension

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 53,958 100,000 0 -46,042 0 0
Annual Time Burden (Hours) 24,731 56,250 0 -31,519 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Burden decreased based on expected decrease in respondents.

$2,524,649
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/14/2022


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