OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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....

ICR 201309-2900-006 · OMB 2900-0004 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 21-534 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.... Form Modified Repair queued
2900-0004 Supporting Statement VAF 534 9-12-13.docx Supporting Statement A Uploaded 2013-09-12 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
28073 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.... Form Modified
ICR Details
2900-0004 201309-2900-006
Historical Inactive 201107-2900-004
VA 2900-0004 VBA-COMP-NK
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....
Revision of a currently approved collection   No
Regular
Comment filed on proposed rule and continue 12/13/2013
Retrieve Notice of Action (NOA) 09/19/2013
VA will resubmit the information collection request to OMB at the final rule stage.
  Inventory as of this Action Requested Previously Approved
01/31/2015 36 Months From Approved 01/31/2015
63,309 0 63,309
76,736 0 76,736
0 0 0
VA Form 21-534 requests the information necessary to determine entitlement to dependency and indemnity compensation (DIC), death pension, accrued benefits, and death compensation. VA Form 21-534a requests the information necessary to determine entitlement to DIC based on in-service death. Without this collection of information, VA would be unable to authorize and properly pay benefits.
US Code: 38 USC 1313 Name of Law: Dependency and indemnity compensation to children
   US Code: 38 USC 1310 Name of Law: Deaths entitling survivors to dependency and indemnity compensation
   US Code: 38 USC 1311 Name of Law: Dependency and indemnity compensation to a surviving spouse
   US Code: 38 USC 1312 Name of Law: Benefits in certain cases of in-service or service-connected deaths
   US Code: 38 USC 1532 Name of Law: Surviving spouses of Civil War veterans
   US Code: 38 USC 1543 Name of Law: Net worth limitation
   US Code: 38 USC 1310 Name of Law: Deaths entitling survivors to dependency and indemnity compensation
   US Code: 38 USC 1314 Name of Law: Supplemental dependency and indemnity compensation to children
   US Code: 38 USC 1533 Name of Law: Children of Civil War veterans
   US Code: 38 USC 1534 Name of Law: Surviving spouses of Indian War veterans
   US Code: 38 USC 1535 Name of Law: Children of Indian War veterans
   US Code: 38 USC 1536 Name of Law: Surviving spouses of Spanish-American War veterans
   US Code: 38 USC 1537 Name of Law: Children of Spanish-American War veterans
   US Code: 38 USC 1541 Name of Law: Surviving spouses of veterans of a period of war
   US Code: 38 USC 1542 Name of Law: Children of veterans of a period of war
   US Code: 38 USC 5101 Name of Law: Claims and forms
  
None
2900-AO81 Proposed rulemaking 78 FR 211 10/31/2013
No
No
Yes
Changing Regulations
There is a change in the annual expected number of respondents due to the Notice of Proposed Rulemaking (NPRM) RIN 2900-AO81, "Standard Claims and Appeals Forms" which proposes to require all claims for benefits to be submitted on an application or form prescribed by the Secretary. VA also expects that more respondents will be filing death benefit claims in the fully developed claim program which requires the use of VA Form 21-534EZ.
$2,390,964
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 [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.
09/19/2013