Information Collection

VA Fiduciary's Account (VA Form 21P-4706b), Court Appointed Fiduciary's Account (VA Form 21P-4706c) Certificate of Bal. on Deposit and Auth. to Disclose Financial Record (VA Form 21P-4718a)

IC 28106 under ICR 202407-2900-006 · OMB 2900-0017.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21P-4706b VA Fiduciary's Account (VA Form 21P-4706b), Court Appointed Fiduciary's Account (VA Form 21P-4706c) Certificate of Bal. on Deposit and Auth. to Disclose Financial Record (VA Form 21P-4718a)	Form
Form 21P-4706b VA Fiduciary's Account VA Fiduciary's Account (VA Form 21P-4706b), Court Appointed Fiduciary's Account (VA Form 21P-4706c) Certificate of Bal. on Deposit and Auth. to Disclose Financial Record (VA Form 21P-4718a)	Form
Form 21P-4706c Court Appointed Fiduciary's Account VA Fiduciary's Account (VA Form 21P-4706b), Court Appointed Fiduciary's Account (VA Form 21P-4706c) Certificate of Bal. on Deposit and Auth. to Disclose Financial Record (VA Form 21P-4718a)	Form
Form 21P-4718a Certificate of Balance on Deposit and Authorization to Disclose Financial Record VA Fiduciary's Account (VA Form 21P-4706b), Court Appointed Fiduciary's Account (VA Form 21P-4706c) Certificate of Bal. on Deposit and Auth. to Disclose Financial Record (VA Form 21P-4718a)	Form
21P-4706b VA Fiduciary's Account 21P-4706b(9-18-24).pdf	Form
21P-4706b VA Fiduciary's Account 21P-4706b(9-18-24).pdf	Form
21P-4706c Court Appointed Fiduciary's Account 21P-4706c(7-11-24).pdf	Form
21P-4706c Court Appointed Fiduciary's Account 21P-4706c(7-11-24).pdf	Form
21P-4718a Certificate of Balance on Deposit and Authorization to D 21P-4718a(7-11-24).pdf	Form
21P-4718a Certificate of Balance on Deposit and Authorization to D 21P-4718a(7-11-24).pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

VA Fiduciary's Account (VA Form 21P-4706b), Court Appointed Fiduciary's Account (VA Form 21P-4706c) Certificate of Bal. on Deposit and Auth. to Disclose Financial Record (VA Form 21P-4718a)

Agency IC Tracking Number:

2900-0017

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 13.200 38 CFR 13.210 38 CFR 13.280

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21P-4706b	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-4706c	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-4718a	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: 58VA 21/22/28 Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28),

FR Citation: 84 FR 4138

Number of Respondents: 30,000

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	30,000	-23,159	53,159
Annual IC Time Burden (Hours)	10,000	-7,720	17,720
Annual IC Cost Burden (Dollars)	0	0	0

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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