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

Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child (Including Death Compensation if Available); Application for Dependency and

Documents and Forms

Document Name Document Type
Form 21P-534EZ 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 Form
21P-534EZ Application for DIC, Death Pension, and/or Accrued Benef VBA-21P-534EZ-AREn 7-25-25.pdf www.va.gov/vaforms Form
21P-534a Application for Dependency and Indemnity Compensation by VBA-21P-534a-ARE 7-25-25.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	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	Agency IC Tracking Number:	2900-0004

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.3 38 CFR 3.5 38 CFR 3.1000

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21P-534EZ	Application for DIC, Death Pension, and/or Accrued Benefits	VBA-21P-534EZ-AREn 7-25-25.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-534a	Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In Service Death Only	VBA-21P-534a-ARE 7-25-25.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)	FR Citation: 84 FR 4138

Number of Respondents: 111,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	111,000	-70,588	181,588
Annual IC Time Burden (Hours)	51,800	-78,338	130,138
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.