Information Collection

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

IC 28067 under ICR 202203-2900-018 · OMB 2900-0002.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0002 can be found here:

Documents and Forms

Document Name Document Type
Form 21P-527 Application for Veterans Pension (VA Form 21P-527EZ),and (VA Form 21P-527) Form
21P-527 Income, Net Worth and Employment Statement VA Form 21P-527 (3-24-22).pdf www.va.gov/vaforms Form
21P-527 Income, Net Worth and Employment Statement VA Form 21P-527 (3-24-22).pdf www.va.gov/vaforms Form
21P-527EZ Application for Veterans Pension VA Form 21P-527EZ Revisions (6-2-22).pdf www.va.gov/vaforms Form
21P-527EZ Application for Veterans Pension VA Form 21P-527EZ Revisions (6-2-22).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Veterans Pension (VA Form 21P-527EZ),and (VA Form 21P-527)	Agency IC Tracking Number:	2900-0002

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.271 38 CFR 3.342

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21P-527	Income, Net Worth and Employment Statement	VA Form 21P-527 (3-24-22).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-527EZ	Application for Veterans Pension	VA Form 21P-527EZ Revisions (6-2-22).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: 53,958	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 2 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	53,958	-46,042	100,000
Annual IC Time Burden (Hours)	24,731	-31,519	56,250
Annual IC Cost Burden (Dollars)	0	0	0

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.