VA will resubmit the information collection at the final rule stage.
Inventory as of this Action
Requested
Previously Approved
03/31/2015
36 Months From Approved
03/31/2015
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 1315
Name of Law: Dependency and indemnity compensation to parents
US Code:
38 USC 5121
Name of Law: Payment of certain accrued benefits upon death of a beneficiary
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
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 is proposing to codify its regulations to standardize the use of all VA forms, to include VA Form 21-535. Currently, other than for the initial original claim, VA does not require that claimants submit any subsequent claim on a prescribed VA form. Although there is no substantive change in this form, VA expects a change in the number of respondents submitting VA Form 21-535 on account of VA's electronic claims processing system which will use another form, i.e., VA Form 21-534EZ, that contains the 38 U.S.C. 5103 notices to claimants. VA also expects that more respondents will be filing death benefit claims by parents in the fully developed claim program which requires the use of VA Form 21-534EZ.
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)
2900-0005 Supporting Statement VAF 535 9-12-13.docx
Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)