Fully Developed Claims- Applications for Compensation, Pension, DIC, Death Pension, and/or Accrued Benefits

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0747 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 21-526EZ Fully Developed Claims- Applications for Compensation, Pension, DIC, Death Pension, and/or Accrued Benefits Form
VA Form 21-526EZ Application for Disability Compensation & Related Compen 21-526EZ (6-12).pdf www.va.gov/vaforms Form
VA Form 21-527EZ Application for Pension 21-527EZ(6-12).pdf www,va,gov/vaforms Form
VA Form 21-534EZ Application for DIC, Death Pension and/or Accrued Benefi 21-534EZ (6-12).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Fully Developed Claims- Applications for Compensation, Pension, DIC, Death Pension, and/or Accrued Benefits	Agency IC Tracking Number:	2900-0747

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21-526EZ	Application for Disability Compensation & Related Compensation Benefits	21-526EZ (6-12).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-527EZ	Application for Pension	21-527EZ(6-12).pdf	www,va,gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-534EZ	Application for DIC, Death Pension and/or Accrued Benefits	21-534EZ (6-12).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 104,440	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	104,440	104,440
Annual IC Time Burden (Hours)	43,517	43,517
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.