Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 21P-530EZ Application for Burial Benefits	Form	Modified	Available
Form 21P-530EZ Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)	Form	Modified	Repair queued
30-Day FRN.pdf	Supplementary Document	Uploaded 2022-07-05	Repair queued
60-Day FRN (2900-0003).pdf	Supplementary Document	Uploaded 2022-04-19	Repair queued
2900-0003, Supporting Statement (VA Form 21P-530EZ).docx	Supporting Statement A	Uploaded 2022-04-19	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28070	Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)	Form	Modified	Application for Burial Benefits
28070	Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)	Form	Modified

ICR Details

OMB Control No: 2900-0003	ICR Reference No: 202204-2900-001
Status: Historical Active	Previous ICR Reference No: 201907-2900-002
Agency/Subagency: VA	Agency Tracking No: VBA-P&F-MS
Title: Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/23/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/19/2022
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2025	36 Months From Approved	10/31/2023
Responses	128,447	0	2,075
Time Burden (Hours)	64,224	0	1,038
Cost Burden (Dollars)	0	0	53,369

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Abstract: The Department of Veterans Affairs (VA) through its Veterans Benefits Administration (VBA) administers an integrated program of benefits and services, established by law, for Veterans, service personnel, and their dependents and/or beneficiaries. Under the authority of 38 U.S.C. 2302, 2303, 2304, 2307, and 2308, the VA will pay burial benefits upon the death of a Veteran to certain eligible claimants. Regulatory authority is found in 38 C.F.R. 3.1700 through 3.1712. VA Form 21P-530EZ is used to gather the necessary information to determine eligibility for VA burial benefits including the burial allowance, plot or interment allowance, and transportation reimbursement.

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Authorizing Statute(s): US Code: 38 USC 2302 Name of Law: Funeral expenses
   US Code: 38 USC 2303 Name of Law: Death in Department facility; plot allowance
   US Code: 38 USC 2304 Name of Law: Claims for Reimbursement
   US Code: 38 USC 2307 Name of Law: Death from service-connected disability
   US Code: 38 USC 2308 Name of Law: Transportation of deceased Veteran to a national cemetery
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 23325	04/19/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 14019	06/30/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)	21P-530EZ	Application for Burial Benefits

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	128,447	2,075	0	126,372	0	0
Annual Time Burden (Hours)	64,224	1,038	0	63,186	0	0
Annual Cost Burden (Dollars)	0	53,369	0	-53,369	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The respondent burden has increased due to the estimated number of receivables averaged over the past year

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Annual Cost to Federal Government: $4,731,966

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/19/2022

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