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Federal forms, ICRs, and supporting documents

Information Collection

Application for Dependency and Indemnity Compensation (DIC), Death Pension and Accrued Benefits by a Surviving Spouse or Child (death Compensation...); Application for DIC by a....

IC 28073 under ICR 200805-2900-015 · OMB 2900-0004.

Documents and Forms
Document Name
Document Type
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Application for Dependency and Indemnity Compensation (DIC), Death Pension and Accrued Benefits by a Surviving Spouse or Child (death Compensation...); Application for DIC by a.... 2900-0004
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 21-534 Application for Dependency and Indemnity Compensation, Death Pension and Accrued Benefits by a Surviving Spouse or Child 21-534.pdf www.va.gov/vaforms Yes No Fillable Printable
Form VA Form 21-534a Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In Service Death Only 21-534a.pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

 

63,309 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 63,309 0 0 0 0 63,309
Annual IC Time Burden (Hours) 76,736 0 0 0 0 76,736
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.