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 201602-2900-007

OMB: 2900-0017

Federal Form Document

ICR Details
2900-0017 201602-2900-007
Historical Active 201205-2900-004
VA VBA-P&F-YM
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
Revision of a currently approved collection   No
Regular
Approved without change 07/19/2016
Retrieve Notice of Action (NOA) 02/16/2016
  Inventory as of this Action Requested Previously Approved
07/31/2019 36 Months From Approved 07/31/2016
35,000 0 31,512
11,667 0 29,566
0 0 0

VA Forms 21-4706, 21-4706b, 21-4706c, 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 21-4718a 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.

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

Not associated with rulemaking

  80 FR 46107 08/03/2015
80 FR 65288 10/26/2015
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 35,000 31,512 0 3,488 0 0
Annual Time Burden (Hours) 11,667 29,566 0 -17,899 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The burden decrease is due to removal of forms that are not used by VA any longer.

$999,043
No
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 crystal.rennie@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.
02/16/2016


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