Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ)

Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ)

OMB: 2900-0747

IC ID: 191044

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Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 21-526EZ Application for Disability Compensation and Related Compensation Benefits VAF21-526EZ, FINAL Draft (9-30-22).pdf www.va.gov/vaforms/ Yes Yes Fillable Printable

General Government Legislative Functions

58VA21/22/28, Compensation, Pension, Education, and Veteran Readiness and Employment Records - VA  87 FR 8740

2,015,367 0
   
Individuals or Households
 
   75 %

  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 2,015,367 0 655,367 0 0 1,360,000
Annual IC Time Burden (Hours) 587,815 0 89,148 0 0 498,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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