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

ICR 202307-2900-012

OMB: 2900-0059

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2023-09-29
Supporting Statement A
2023-09-29
Supplementary Document
2023-07-31
IC Document Collections
ICR Details
2900-0059 202307-2900-012
Received in OIRA 202009-2900-024
VA VBA-P&F-NK
Statement of Person Claiming to Have Stood in Relation of Parent (VA Form 21P-524)
Revision of a currently approved collection   No
Regular 09/29/2023
  Requested Previously Approved
36 Months From Approved 04/30/2024
21 400
42 800
0 16,180

VA Form 21P-524 is used to gather information from claimants seeking service-connected survivors benefits as persons who stood in relation of parent to deceased veterans. This relationship must be established in order to meet basic eligibility requirements. The information collected will be used by VBA to evaluate a claimant’s parental relationship to a deceased Veteran when the claimant is not the Veteran’s natural mother or father or adopted mother or father.

US Code: 38 USC 1315 Name of Law: Dependency and indemnity compensation to parents
   US Code: 38 USC 1310 Name of Law: Deaths entitling survivors to dependency and indemnity compensation
  
None

Not associated with rulemaking

  88 FR 16049 07/28/2023
88 FR 21395 09/29/2023
No

1
IC Title Form No. Form Name
Statement of Person Claiming to Have Stood in Relation of Parent (21P-524) VA Form 21P-524 Statement of Person Claiming to Have Stood in Relation of Parent

  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 21 400 0 -379 0 0
Annual Time Burden (Hours) 42 800 0 -758 0 0
Annual Cost Burden (Dollars) 0 16,180 0 -16,180 0 0
No
Yes
Miscellaneous Actions
The respondent burden has decreased due to the estimated number of receivables averaged over the past year.

$732
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.
09/29/2023


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