OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Accrued Amounts of Veteran's Benefits Payable to Surviving Spouse, Child, or Dependent Parents

ICR 199909-2900-012 · OMB 2900-0006 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28079 Application for Accrued Amounts of Veteran's Benefits Payable to Surviving Spouse, Child, or Dependent Parents Form Migrated
ICR Details
2900-0006 199909-2900-012
Historical Inactive 199501-2900-003
VA
Application for Accrued Amounts of Veteran's Benefits Payable to Surviving Spouse, Child, or Dependent Parents
Reinstatement without change of a previously approved collection   No
Regular
Withdrawn 11/05/1999
Retrieve Notice of Action (NOA) 09/13/1999
Withdrawn pursuant to agency request. VA realized that it failed to publish the proper Federal Register notices.
  Inventory as of this Action Requested Previously Approved
0 0 0
0 0 0
0 0 0
VA form 21-614 is used by dependents of deceased veterans for the sole purpose of making a claim for accrued benefits available at the time of the veteran's death.
None
None
No
1
IC Title Form No. Form Name
Application for Accrued Amounts of Veteran's Benefits Payable to Surviving Spouse, Child, or Dependent Parents 21-614
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/13/1999