Information Collection Request

Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ)

ICR 202508-2900-003 · OMB 2900-0747 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form 21-526ez Application for Disability Compensation and Related Compensation Benefits Form Modified Available
Form 21-526ez Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ) Form Modified Missing upstream
30-Day FRN (published) 2900-0747.pdf Supplementary Document Uploaded 2025-11-19 Available
30-Day FRN (published) 2900-0747.pdf Supplementary Document Uploaded 2025-11-19 Repair queued
2025-15865, 60-Day FRN (2900-0747, VAF21-526EZ).pdf Supplementary Document Uploaded 2025-10-02 Available
2025-15865, 60-Day FRN (2900-0747, VAF21-526EZ).pdf Supplementary Document Uploaded 2025-10-02 Repair queued
DED Approval to Publish FRNs for 526EZ.msg Supplementary Document Uploaded 2025-08-12 Repair queued
2900-0747, Supporting Statement (VAF 21-526EZ) 11-19-25.docx Supporting Statement A Uploaded 2025-11-19 Available
2900-0747, Supporting Statement (VAF 21-526EZ) 11-19-25.docx Supporting Statement A Uploaded 2025-11-19 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
191044 Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ) Form ModifiedApplication for Disability Compensation and Related Compensation Benefits
191044 Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ) Form Modified
ICR Details
2900-0747 202508-2900-003
Active 202205-2900-006
VA VBA-COMP-KM
Application for Disability Compensation and Related Compensation Benefits (VA Form 21-526EZ)
Revision of a currently approved collection   No
Regular
Approved with change 01/12/2026
Retrieve Notice of Action (NOA) 11/19/2025
OMB is approving this information collection request for a period of three years during which time the agency will request approval to extend or revise the collection if the agency seeks to continue the information collection activity beyond the period approved under this action.
  Inventory as of this Action Requested Previously Approved
01/31/2029 36 Months From Approved 01/31/2026
2,508,969 0 2,015,367
836,323 0 587,815
0 0 0

VA Form 21-526EZ is used to collect the information needed to process a claim for disability compensation and/or related compensation benefits. The form has evolved over time into a standard claim form to be used for any benefit associated with disability compensation; to include new or initial claims and claims for increase. Without this information, determination of entitlement would not be possible.

PL: Pub.L. 110 - 389 221 Name of Law: Veterans Benefits Improvement Act of 2008
   US Code: 38 USC 5101 Name of Law: Claims and Forms
  
None

Not associated with rulemaking

  90 FR 40700 08/20/2025
90 FR 52165 11/19/2025
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 2,508,969 2,015,367 0 493,602 0 0
Annual Time Burden (Hours) 836,323 587,815 0 248,508 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The respondent burden has increased due to:  the number of receivables averaged over the past year, and  the continuing improvement of VA’s electronic claims processing systems.

$63,873,565
No
    Yes
    Yes
No
No
No
No
Dorothy Glasgow 240 205-5190 [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.
11/19/2025