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

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

Documents and Forms

Document Name Document Type
Form VA Form 21P-524 Statement of Person Claiming to Have Stood in Relation of Parent (21P-524) Form
VA Form 21P-524 Statement of Person Claiming to Have Stood in Relation o 21P-524(7-25-23).pdf www.va.gov/vaforms Form
VA Form 21P-524 Statement of Person Claiming to Have Stood in Relation o 21P-524(7-25-23).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Statement of Person Claiming to Have Stood in Relation of Parent (21P-524)	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	VA Form 21P-524	Statement of Person Claiming to Have Stood in Relation of Parent	21P-524(7-25-23).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title: Privacy Act System of Records identified as “Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)	FR Citation: 88 FR 16049

Number of Respondents: 21	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	21	-379	400
Annual IC Time Burden (Hours)	42	-758	800
Annual IC Cost Burden (Dollars)	1,250	-14,930	16,180

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.