Information Collection

Statement of Person Claiming to Have Stood in Relation of Parent (21P-524)

IC 28190 under ICR 202307-2900-012 · OMB 2900-0059.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 21P-524 Statement of Person Claiming to Have Stood in Relation of Parent (21P-524)	Form
Form VA Form 21P-524 Statement of Person Claiming to Have Stood in Relation of Parent Statement of Person Claiming to Have Stood in Relation of Parent (21P-524)	Form
VA Form 21P-524 Statement of Person Claiming to Have Stood in Relation o 21P-524(7-25-23).pdf	Form
VA Form 21P-524 Statement of Person Claiming to Have Stood in Relation o 21P-524(7-25-23).pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Statement of Person Claiming to Have Stood in Relation of Parent (21P-524)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.59

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	VA Form 21P-524			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: Privacy Act System of Records identified as âCompensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)

FR Citation: 88 FR 16049

Number of Respondents: 21

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	21	-379	400
Annual IC Time Burden (Hours)	42	-758	800
Annual IC Cost Burden (Dollars)	1,250	-14,930	16,180

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.

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