Statement of Person Claiming to Have Stood in Relation of Parent

Statement of Person Claiming to Have Stood in Relation of Parent (VA Form 21P-524)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0059 can be found here:

Documents and Forms

Document Name Document Type
Form 21P-524 Statement of Person Claiming to Have Stood in Relation of Parent Form
21P-524 STATEMENT OF PERSON CLAIMING TO HAVE STOOD IN RELATION O VA Form 21P-524 (508 Compliant 3-9-17).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Statement of Person Claiming to Have Stood in Relation of Parent	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.59

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21P-524	STATEMENT OF PERSON CLAIMING TO HAVE STOOD IN RELATION OF PARENT	VA Form 21P-524 (508 Compliant 3-9-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: 58VA21/22/28, Compensation, Pension, Education and Vocational Rehabilitation and Employment Records - VA	FR Citation: 77 FR 42593

Number of Respondents: 400	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	400	0	400
Annual IC Time Burden (Hours)	800	0	800
Annual IC Cost Burden (Dollars)	16,180	16,180	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.