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Federal forms, ICRs, and supporting documents

Information Collection

Appl. for DIC, Death Pension, and/or Accrued Benefits (21P-534EZ); Appl. for Dependency and Indemnity Compensation by a Surviving Spouse or Child; Appl. for Dependency and Indemnity Compensation

IC 232583 under ICR 202502-2900-001 · OMB 2900-0004.

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Document Type
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Form
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Information Collection (IC) Details

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Appl. for DIC, Death Pension, and/or Accrued Benefits (21P-534EZ); Appl. for Dependency and Indemnity Compensation by a Surviving Spouse or Child; Appl. for Dependency and Indemnity Compensation 2900-0004
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 3.5 38 CFR 3.1000 38 CFR 3.3

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21P-534EZ Application for DIC, Death Pension, and/or Accrued Benefits VBA-21P-534EZ-AREn 7-25-25.pdf www.va.gov/vaforms Yes No Fillable Printable
Form 21P-534a Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In Service Death Only VBA-21P-534a-ARE 7-25-25.pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)  84 FR 4138

111,000 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 111,000 0 -70,588 0 0 181,588
Annual IC Time Burden (Hours) 51,800 0 -78,338 0 0 130,138
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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