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Federal forms, ICRs, and supporting documents

Information Collection Request

Court Appointed Fiduciarys Account (letter size), Federal Fiduciary's Account, Account Book, and Court Appointed Fiduciary's Account (legal size)

ICR 200007-2900-006 · OMB 2900-0017 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28105 Court Appointed Fiduciarys Account (letter size), Federal Fiduciary's Account, Account Book, and Court Appointed Fiduciary's Account (legal size) Form Migrated
ICR Details
2900-0017 200007-2900-006
Historical Active 199909-2900-021
VA
Court Appointed Fiduciarys Account (letter size), Federal Fiduciary's Account, Account Book, and Court Appointed Fiduciary's Account (legal size)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 10/03/2000
Retrieve Notice of Action (NOA) 07/24/2000
Approved consistent with clarification in VA memo of 10-2-00. This collection previously expired in 1998. VA must have a system is in place to ensure that such future violations of the Paperwork Reduction Act do not occur.
  Inventory as of this Action Requested Previously Approved
12/31/2003 12/31/2003
24,868 0 0
22,946 0 0
0 0 0
The forms are used by VA's Fiduciary Program and are provided to VA fiduciaries as acceptable formats to collect data to be reported in accountings and are acceptable by VA and state courts alike to satisfy requirements under state and federal statutes. Some courts require documents to be submitted on legal size paper, hence the 21-4706 and 21-4706c. While the accounting requirement is mandatory under the law, use of the form is optional.
None
None
No
1
IC Title Form No. Form Name
Court Appointed Fiduciarys Account (letter size), Federal Fiduciary's Account, Account Book, and Court Appointed Fiduciary's Account (legal size) 21-4706, 21-4706B, 21-4706C, 21-4718
  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 24,868 0 0 24,868 0 0
Annual Time Burden (Hours) 22,946 0 0 22,946 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/24/2000