Court Appointed Fiduciary's Account, Federal Fiduciary's Account, Account Book, Court Appointed Fiduciary's Account, Certificate of Balance on Deposit and Authorization to Disclose Financial Records

ICR 200610-2900-008

OMB: 2900-0017

Federal Form Document

ICR Details
2900-0017 200610-2900-008
Historical Active 200310-2900-003
VA
Court Appointed Fiduciary's Account, Federal Fiduciary's Account, Account Book, Court Appointed Fiduciary's Account, Certificate of Balance on Deposit and Authorization to Disclose Financial Records
Extension without change of a currently approved collection   No
Regular
Approved without change 12/15/2006
Retrieve Notice of Action (NOA) 11/06/2006
Approved consistent with the following terms of clearance: in the next submission of this collection to OMB for review VA shall address the feasibility of providing a fully electronic process for the submission and completion of all associated forms including acceptance of electronic signatures.
  Inventory as of this Action Requested Previously Approved
12/31/2009 36 Months From Approved 12/31/2006
31,512 0 44,000
29,569 0 20,250
0 0 0

VA Forms 21-4706, 21-4706, 21-4706, and 21-4718 are used to gather information necessary to determine the accounting of the veteran's compensation or pension funds spent and/or saved by his fiduciary appointment. VA Form 21-4718 a is used to gather information from the veteran's financial institution records. Without this information, VA would be unable to determine if the veteran's fiduciary is properly using the funds for this benefit according to VA law.

PL: Pub.L. 108 - 454 502-504 Name of Law: Veterans Benefits Improvement Act of 2004
   US Code: 38 USC 5502 Name of Law: Payments to and supervision of fiduciaries
  
None

Not associated with rulemaking

  71 FR 96 05/18/2006
71 FR 194 10/06/2006
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 31,512 44,000 0 -12,488 0 0
Annual Time Burden (Hours) 29,569 20,250 0 9,319 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The change in reporting burden is due a change in law that requires VA to collect an increase amount of accounting records from veteran’s fiduciaries.

$472,680
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  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.
11/06/2006


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