VA Fiduciary's Account(VA Form 21P-4706b),Court Appointed Fiduciary's Account(VA Form 21P-4706c),Cert. of Bal. on Deposit and Auth. to Dis. Financial Record(21P-4718a))

ICR 202108-2900-003

OMB: 2900-0017

Federal Form Document

ICR Details
2900-0017 202108-2900-003
Received in OIRA 201905-2900-004
VA VBA-P&F-NK
VA Fiduciary's Account(VA Form 21P-4706b),Court Appointed Fiduciary's Account(VA Form 21P-4706c),Cert. of Bal. on Deposit and Auth. to Dis. Financial Record(21P-4718a))
Extension without change of a currently approved collection   No
Regular 10/28/2021
  Requested Previously Approved
36 Months From Approved 12/31/2021
53,159 33,500
17,720 11,167
0 0

VA Forms 21P-4706b, 21P-4706c, and 21P-4718a will be completed by VA-appointed fiduciaries of VA beneficiaries. The information will be used by VA fiduciary hub staff to determine whether an individual is an appropriate fiduciary and properly using and maintaining an accounting of the VA beneficiaries compensation or pension payments. VA continues to use the information provided on these forms in the oversight of VA-appointed fiduciaries.

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

  86 FR 18195 08/24/2021
86 FR 23492 10/28/2021
No

  Total Request 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 53,159 33,500 0 19,659 0 0
Annual Time Burden (Hours) 17,720 11,167 0 6,553 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Increase due to an increase in the number of appointed fiduciaries.

$6,130,063
No
    Yes
    Yes
No
No
No
No
Maribel Aponte 202 266-4688 maribel.aponte@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.
10/28/2021


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