OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

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)

OMB 2900-0004 · VA.

OMB 2900-0004

VA Form 21P-534EZ is used for pension claims, DIC and accrued claims. Without this information, determination of entitlement would not be possible. VA Form 21P-534a is an abbreviated application for DIC that is used only by surviving spouses and children of veterans who died while on active duty service. Without this information, determination of entitlement would not be possible.

The latest form for 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) expires 2029-11-30 and is listed under ICR 202606-2900-008.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 21P-534ez Application for DIC, Death Pension, and/or Accrued BenefitsForm and Instruction
Form 21p-534a Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In Service Death OnlyForm and Instruction
21P-534EZ (2900-0004) 60-Day FRN Public Comment compilation.docx (document unavailable)Supplementary Document
PF- NOVA Response 10.08.2026.docx (document unavailable)Supplementary Document
PF - Anonymous Response 10.09.2026.docx (document unavailable)Supplementary Document
PC_202606-2900-008_100926_054953_1.pdf (document unavailable)Public Comments
NOVA Comments Forms 534EZ 10 8 26 FNL.pdf (document unavailable)Public Comments
30-Day FRN (published) 2900-0004.pdfSupplementary Document
60-Day (published) 2900-0004.pdfSupplementary Document
2900-0004 (21P-534EZ) - Supporting Statement 2.docxSupporting Statement A
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
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
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
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

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202606-2900-008 Revision of a currently approved collection 2026-09-09
202502-2900-001 Revision of a currently approved collection 2025-07-25
202209-2900-009 No material or nonsubstantive change to a currently approved collection 2022-09-16 Approved without change
202203-2900-013 Revision of a currently approved collection 2022-06-01 Approved without change
202005-2900-017 Revision of a currently approved collection 2020-10-02
201808-2900-005 Revision of a currently approved collection 2018-09-18 Approved with change
201801-2900-002 Revision of a currently approved collection 2018-04-25 Approved with change
201504-2900-005 Reinstatement with change of a previously approved collection 2015-05-15 Approved without change
201412-2900-020 Revision of a currently approved collection 2014-12-30 Comment filed on proposed rule and continue
201406-2900-051 Revision of a currently approved collection 2014-07-31 Approved with change
201406-2900-036 No material or nonsubstantive change to a currently approved collection 2014-06-19 Approved without change
201309-2900-006 Revision of a currently approved collection 2013-09-19 Comment filed on proposed rule and continue
201107-2900-004 Extension without change of a currently approved collection 2011-10-06 Approved without change
200805-2900-015 Extension without change of a currently approved collection 2008-09-04 Approved without change
200507-2900-009 Revision of a currently approved collection 2005-07-15 Approved with change
200411-2900-004 No material or nonsubstantive change to a currently approved collection 2004-11-10 Approved without change
200403-2900-009 No material or nonsubstantive change to a currently approved collection 2004-03-24 Approved without change
200210-2900-003 Extension without change of a currently approved collection 2002-10-29 Approved without change
199912-2900-001 Reinstatement without change of a previously approved collection 1999-12-06 Approved without change
199508-2900-058 Extension without change of a currently approved collection 1995-08-28 Withdrawn and continue
199309-2900-001 Revision of a currently approved collection 1993-09-23 Approved without change
199011-2900-006 Reinstatement with change of a previously approved collection 1990-11-09 Approved without change
198701-2900-005 No material or nonsubstantive change to a currently approved collection 1987-01-12 Approved with change
198606-2900-008 Revision of a currently approved collection 1986-06-30 Approved without change
198503-2900-009 Revision of a currently approved collection 1985-03-27 Approved without change
198410-2900-021 Revision of a currently approved collection 1984-10-19 Approved without change
198309-2900-008 Revision of a currently approved collection 1983-09-16 Approved without change
198208-2900-005 Revision of a currently approved collection 1982-08-03 Approved without change
198012-2900-015 No material or nonsubstantive change to a currently approved collection 1980-12-30 Approved with change
197809-2900-006 Revision of a currently approved collection 1978-09-12 Approved without change
197710-2900-008 Revision of a currently approved collection 1977-10-13 Approved without change
197708-2900-014 No material or nonsubstantive change to a currently approved collection 1977-08-26 Approved with change
197701-2900-069 No material or nonsubstantive change to a currently approved collection 1977-01-24 Approved with change
197502-2900-002 Revision of a currently approved collection 1975-02-24 Approved without change