Appl. for DIC, Death Pension, and/or Accrued Benefits (21P-534EZ); Appl. for Dependency and Indemnity Compensation by a Surviving Spouse or Child; Appl. for Dependency and Indemnity Compensation

Documents and Forms

Document Name Document Type
Form VA Form 21P-534 Appl. for DIC, Death Pension, and/or Accrued Benefits (21P-534EZ); Appl. for Dependency and Indemnity Compensation by a Surviving Spouse or Child; Appl. for Dependency and Indemnity Compensation Form
VA Form 21P-534 Application for Dependency and Indemnity Compensation, S 21P-534(3-22-22).pdf www.va.gov/vaforms Form
VA Form 21P-534 Application for Dependency and Indemnity Compensation, S 21P-534(3-22-22).pdf www.va.gov/vaforms Form
VA Form 21P-534a Application for Dependency and Indemnity Compensation by 21P-534a(3-22-22).pdf www.va.gov/vaforms Form
VA Form 21P-534a Application for Dependency and Indemnity Compensation by 21P-534a(3-22-22).pdf www.va.gov/vaforms Form
VA Form 21P-534EZ Application for DIC, Survivors Pension, And/Or Accrued B 21P-534EZ(4-20-22).pdf www.va.gov/vaforms Form
VA Form 21P-534EZ Application for DIC, Survivors Pension, And/Or Accrued B 21P-534EZ(4-20-22).pdf www.va.gov/vaforms Form
21P-534EZ Application for DIC, Death Pension, and/or Accrued Benef 21P-534EZ(9-16-22).pdf www.va.gov/vaforms Form
21P-534EZ Application for DIC, Death Pension, and/or Accrued Benef 21P-534EZ(9-16-22).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Appl. for DIC, Death Pension, and/or Accrued Benefits (21P-534EZ); Appl. for Dependency and Indemnity Compensation by a Surviving Spouse or Child; Appl. for Dependency and Indemnity Compensation	Agency IC Tracking Number:	2900-0004

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.5 38 CFR 3.1000 38 CFR 3.3

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21P-534	Application for Dependency and Indemnity Compensation, Survivors Pension and Accrued Benefits by a Surviving Spouse or Child	21P-534(3-22-22).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-534a	Application for Dependency and Indemnity Compensation by a Surviving Spouse or Child - In Service Death Only	21P-534a(3-22-22).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-534EZ	Application for DIC, Survivors Pension, And/Or Accrued Benefits	21P-534EZ(4-20-22).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-534EZ	Application for DIC, Death Pension, and/or Accrued Benefits	21P-534EZ(9-16-22).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)	FR Citation: 87 FR 6318

Number of Respondents: 181,588	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	181,588	181,588
Annual IC Time Burden (Hours)	130,138	130,138
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.