THIS APPLICATION IS REQUIRED TO FILE
FOR PAYMENT OF ACCRUED BENEFITS, DUE A VETERAN AT DEATH, AS
REIMBURSEMENT FOR EXPENSES INCURRED FOR LAST SICKNESS AND BURIAL OF
THE DECEASED VETERAN. THE INFORMATION IS NECESSARY TO DETERMINE IF
THERE ARE ANY ELIGIBLE SURVIVING RELATIVES, AMOUNTS OF EXPENSES
ALREADY PAID, AND ANY OUTSTANDING AMOUNTS AND WHO ARE THE UNPAID
CREDITORS. AUTHORITY IS 38 C.F.R. 3.262, 3.340 AND 3.342
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.