Approved for a period of one year, during which time VA continue to work toward providing respondents with a fully electronic version of associated forms including the recognition of electronic signatures.
Inventory as of this Action
Requested
Previously Approved
01/31/2009
36 Months From Approved
12/31/2007
3,600
0
3,600
4,320
0
4,320
0
0
0
VA Form 21-535 is used by surviving parents to apply for Dependency and Indemnity Compensation (DIC), death compensation, and/or accrued benefits. It would be impossible to determine eligibility for these benefits without this form.
US Code:
38 USC 501(a)(2)
Name of Law: Rules and regulations
US Code:
38 USC 1121
Name of Law: Death Compensation - Basic entitlement
US Code:
38 USC 1310
Name of Law: Deaths entitling survivors to dependency and indemnity compensation
US Code:
38 USC 5121
Name of Law: Payment of certain accrued benefits upon death of a beneficiary
US Code:
38 USC 1315
Name of Law: Dependency and indemnity compensation to parents
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.
Form 21-535 Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)
OMB21-535(11-13-07).doc
Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)