Information Collection Request

Application for D.I.C., Survivors Pension, and/or Accrued Benefits (VA Form 21P-534EZ); Application for D.I.C. by a Surviving Spouse or Child-Inservice Death Only (VA Form 21P-534a)

ICR 202606-2900-008 · OMB 2900-0004 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 21P-534ez Application for DIC, Death Pension, and/or Accrued Benefits Form and Instruction Modified Repair queued
Form 21P-534ez Application for DIC, Death Pension, and/or Accrued Benefits Form and Instruction Modified Available
Form 21p-534a Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In Service Death Only Form and Instruction Modified Repair queued
Form 21p-534a Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In Service Death Only Form and Instruction Modified Available
21P-534EZ (2900-0004) 60-Day FRN Public Comment compilation.docx Supplementary Document Uploaded 2026-11-10 Repair queued
PF- NOVA Response 10.08.2026.docx Supplementary Document Uploaded 2026-11-10 Repair queued
PF - Anonymous Response 10.09.2026.docx Supplementary Document Uploaded 2026-11-10 Repair queued
PC_202606-2900-008_100926_054953_1.pdf Public Comments Uploaded 2026-10-09 Repair queued
NOVA Comments Forms 534EZ 10 8 26 FNL.pdf Public Comments Uploaded 2026-10-08 Repair queued
30-Day FRN (published) 2900-0004.pdf Supplementary Document Uploaded 2026-09-09 Repair queued
30-Day FRN (published) 2900-0004.pdf Supplementary Document Uploaded 2026-09-09 Available
60-Day (published) 2900-0004.pdf Supplementary Document Uploaded 2026-08-28 Repair queued
60-Day (published) 2900-0004.pdf Supplementary Document Uploaded 2026-08-28 Available
2900-0004 (21P-534EZ) - Supporting Statement 2.docx Supporting Statement A Uploaded 2026-09-09 Repair queued
2900-0004 (21P-534EZ) - Supporting Statement 2.docx Supporting Statement A Uploaded 2026-09-09 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
232583 Application for D.I.C., Survivors Pension, and/or Accrued Benefits (VA Form 21P-534EZ); Application for D.I.C. by a Surviving Spouse or Child-Inservice Death Only (VA Form 21P-534a) Form and Instruction ModifiedApplication for DIC, Death Pension, and/or Accrued Benefits
232583 Application for D.I.C., Survivors Pension, and/or Accrued Benefits (VA Form 21P-534EZ); Application for D.I.C. by a Surviving Spouse or Child-Inservice Death Only (VA Form 21P-534a) Form and Instruction ModifiedApplication for DIC, Death Pension, and/or Accrued Benefits
232583 Application for D.I.C., Survivors Pension, and/or Accrued Benefits (VA Form 21P-534EZ); Application for D.I.C. by a Surviving Spouse or Child-Inservice Death Only (VA Form 21P-534a) Form and Instruction ModifiedApplication for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In Service Death Only
232583 Application for D.I.C., Survivors Pension, and/or Accrued Benefits (VA Form 21P-534EZ); Application for D.I.C. by a Surviving Spouse or Child-Inservice Death Only (VA Form 21P-534a) Form and Instruction ModifiedApplication for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In Service Death Only

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2029 36 Months From Approved 08/31/2028
110,000 0 111,000
45,833 0 51,800
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Application for D.I.C., Survivors Pension, and/or Accrued Benefits (VA Form 21P-534EZ); Application for D.I.C. by a Surviving Spouse or Child-Inservice Death Only (VA Form 21P-534a) 21p-534a, 21P-534ez ,  

table that charts list of burden
  Total Approved 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 110,000 111,000 0 -1,000 0 0
Annual Time Burden (Hours) 45,833 51,800 0 -5,967 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No