Information Collection

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

IC 28070 under ICR 202204-2900-001 · OMB 2900-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21P-530EZ Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)	Form
21P-530EZ Application for Burial Benefits VBA-21P-530EZ-04042022.pdf www.va.gov/vaforms	Form
21P-530EZ Application for Burial Benefits VBA-21P-530EZ-04042022.pdf www.va.gov/vaforms	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

Agency IC Tracking Number:

21P-530EZ

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.1706 38 CFR 3.1701 38 CFR 3.1702 38 CFR 3.1703 38 CFR 3.1700 38 CFR 3.1704 38 CFR 3.1705 38 CFR 3.1707 38 CFR 3.1708 38 CFR 3.1709 38 CFR 3.1710 38 CFR 3.1711 38 CFR 3.1712 38 CFR 3.1713

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21P-530EZ	Application for Burial Benefits	VBA-21P-530EZ-04042022.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: 128,447

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	128,447	126,372	2,075
Annual IC Time Burden (Hours)	64,224	63,186	1,038
Annual IC Cost Burden (Dollars)	0	-53,369	53,369

Documents for IC

table that charts IC Documents
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.