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Application for Veterans Pension (VA Form 21P-527EZ),and (VA Form 21P-527)
Application for Veterans Pension (VA Form 21P-527EZ) and (VA Form 21P-527)
OMB: 2900-0002
IC ID: 28067
OMB.report
VA
OMB 2900-0002
ICR 202203-2900-018
IC 28067
( )
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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
53,958
0
-46,042
0
0
100,000
Annual IC Time Burden (Hours)
24,731
0
-31,519
0
0
56,250
Annual IC Cost Burden (Dollars)
0
0
0
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.