OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847)

ICR 202407-2900-005 · OMB 2900-0740 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 21P-0847 Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847) Form Modified Repair queued
30-Day FRN - 2900-0740 (2024).pdf Supplementary Document Uploaded 2024-10-18 Repair queued
2900-0740 (21P-0847) - Supporting Statement.docx Supporting Statement A Uploaded 2024-10-18 Missing upstream
60-Day FRN (2900-0740).pdf Supplementary Document Uploaded 2024-08-14 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
189428 Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847) Form Modified
ICR Details
2900-0740 202407-2900-005
Received in OIRA 202108-2900-010
VA VBA-P&F-YA
Request for Substitution of Claimant upon Death of Claimant (VA Form 21P-0847)
Revision of a currently approved collection   No
Regular 10/18/2024
  Requested Previously Approved
36 Months From Approved 12/31/2024
15,000 20,000
1,200 1,667
0 0
VA Form 21P-0847 is used to allow claimants to request substitution for a claimant, who passed away, prior to VA processing a claim to completion. This is only allowed when a claimant dies while a claim or appeal for any benefit under a law administered by the VA is pending. The substitute claimant would be eligible to receive accrued benefits due a deceased claimant under Section 5121(a).
US Code: 38 USC 5121A Name of Law: Payment of certain accrued benefits upon death of a beneficiary
  
None
Not associated with rulemaking
  89 FR 65721 08/12/2024
89 FR 83951 10/18/2024
No
  Total Request 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 15,000 20,000 0 -5,000 0 0
Annual Time Burden (Hours) 1,200 1,667 0 -467 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The respondent burden has decreased due to the estimated number of receivables averaged over the past year.
$124,038
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 [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.
10/18/2024