Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)

Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) (VA Form 21P-535)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0005 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 21P-535 Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) Form
VA Form 21P-535 Application for Dependency and Indemnity Compensation by 21P-535(7-30-14).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)	Agency IC Tracking Number:	2900-0005

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 21P-535	Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation when Applicable)	21P-535(7-30-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,783	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,783	-1,817	3,600
Annual IC Time Burden (Hours)	2,140	-2,180	4,320
Annual IC Cost Burden (Dollars)	0	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.