Information Collection

VA Dependency and Indemnity Compensation (VA DIC) Survey

IC 276868 under ICR 202503-2900-010 · OMB 2900-0876.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0876 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA DIC VA DIC VA Dependency and Indemnity Compensation (VA DIC) Survey	Form and Instruction
VA DIC VA DIC VA DIC Survey Invitations and Questions_20250710_OPO (FINAL).docx	Form and Instruction
ICR Template_A11 Section 280 Clearance_DIC_20250613.docx ICR VA DIC	IC Document

IC Title:

VA Dependency and Indemnity Compensation (VA DIC) Survey

Agency IC Tracking Number:

2900-0876 VA DIC Survey

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	VA DIC				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title: Veterans, Dependents of Veterans, and Veteran Beneficiaries

FR Citation: 86 FR 6992

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ICR VA DIC		08/04/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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