Appl. for DIC, Death Pension, and/or Accrued Benefits (21P-534EZ); Appl. for Dependency and Indemnity Compensation by a Surviving Spouse or Child; Appl. for Dependency and Indemnity Compensation

ICR 202209-2900-009

OMB: 2900-0004

Federal Form Document

ICR Details
2900-0004 202209-2900-009
Received in OIRA 202203-2900-013
VA VBA-P&F-NK
Appl. for DIC, Death Pension, and/or Accrued Benefits (21P-534EZ); Appl. for Dependency and Indemnity Compensation by a Surviving Spouse or Child; Appl. for Dependency and Indemnity Compensation
No material or nonsubstantive change to a currently approved collection   No
Regular 09/16/2022
  Requested Previously Approved
07/31/2025 07/31/2025
181,588 181,588
130,138 130,138
0 0

VA Form 21P-534 is used to gather the necessary information to determine the eligibility of surviving spouses and children for dependency and indemnity compensation (DIC), death pension, accrued benefits, and death compensation. VA Form 21P-534a is an abbreviated application for DIC that is used only by surviving spouses and children of veterans who died while on active duty service. The VA Form 21P-534EZ is used for the Fully Developed Claims (FDC) program for pension claims, DIC and accrued claims. Without this information, determination of entitlement would not be possible.

US Code: 38 USC 1542 Name of Law: Children of veterans of a period of war
   US Code: 38 USC 1541 Name of Law: Surviving spouses of veterans of a period of war
   US Code: 38 USC 1310 Name of Law: Deaths entitling survivors to dependency and indemnity compensation
   US Code: 38 USC 5101(a) Name of Law: Claims and forms
   US Code: 38 USC 1151 Name of Law: Benefits for persons disabled by treatment or vocational rehabilitation
   US Code: 38 USC 5121 Name of Law: Payment of certain accrued benefits upon death of a beneficiary
  
None

Not associated with rulemaking

  87 FR 6318 03/25/2022
87 FR 11428 05/27/2022
No

  Total Request 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 181,588 181,588 0 0 0 0
Annual Time Burden (Hours) 130,138 130,138 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$8,496,351
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/16/2022


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