Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) (VA Form 21P-535)

Forms and Documents

Document Name	Status
Form 21P-535 Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) Form	Modified
WHITE PAPER - 21P-535_PFS.docx Justification for No Material/Nonsubstantive Change	2022-09-21
2900-0005 30-Day FRN (21P-535).pdf Supplementary Document	2021-06-16
2900-0005, Supporting Statement (VA Form 21P-535).docx Supporting Statement A	2021-06-09
2900-0005_60_Day FRN.pdf Supplementary Document	2021-05-04

IC Document Collections

IC ID	Document Title	Status
28078	Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) Form	Modified

ICR Details

OMB Control No: 2900-0005	ICR Reference No: 202209-2900-011
Status: Received in OIRA	Previous ICR Reference No: 202005-2900-012
Agency/Subagency: VA	Agency Tracking No: VBA-P&F-YA
Title: Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) (VA Form 21P-535)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/22/2022

	Requested	Previously Approved
Expiration Date	07/31/2024	07/31/2024
Responses	3,600	3,600
Time Burden (Hours)	4,320	4,320
Cost Burden (Dollars)	103,068	103,068

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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. 38 U.S.C. §§ 1121 and 1310 provide for payment of Dependency and Indemnity Compensation (DIC) or death compensation to parents of a Veteran whose death is service-connected. Parents must also meet income limitations to be eligible for benefits. 38 U.S.C. § 5121 provides for payment of accrued benefits.

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Authorizing Statute(s): US Code: 38 USC 501(a)(2) Name of Law: Rules and regulations
   US Code: 38 USC 1310 Name of Law: Deaths entitling survivors to dependency and indemnity compensation
   US Code: 38 USC 1315 Name of Law: Dependency and indemnity compensation to parents
   US Code: 38 USC 1121 Name of Law: Death Compensation - Basic entitlement
   US Code: 38 USC 5121 Name of Law: Payment of certain accrued benefits upon death of a beneficiary
  

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:
	86 FR 17456	04/02/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 31826	06/15/2021
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)	21P-535	Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)

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ICR Summary of Burden

	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	3,600	3,600	0	0	0	0
Annual Time Burden (Hours)	4,320	4,320	0	0	0	0
Annual Cost Burden (Dollars)	103,068	103,068	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $180,453

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: 09/22/2022

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