OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)

ICR 200810-2900-002 · OMB 2900-0005 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 21-535 Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) Form Unchanged Repair queued
2900-0005 justification.doc Supporting Statement A Uploaded 2009-01-06 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
28078 Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) Form Unchanged
ICR Details
2900-0005 200810-2900-002
Historical Active 200706-2900-025
VA 2900-0005
Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)
Extension without change of a currently approved collection   No
Regular
Approved without change 03/15/2009
Retrieve Notice of Action (NOA) 01/06/2009
  Inventory as of this Action Requested Previously Approved
03/31/2012 36 Months From Approved 03/31/2009
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 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
   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
  
None
Not associated with rulemaking
  73 FR 204 10/21/2008
74 FR 2 01/05/2009
No
  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 3,600 3,600 0 0 0 0
Annual Time Burden (Hours) 4,320 4,320 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$405,506
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 [email protected]
  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.
01/06/2009