Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)

Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation when Applicable) (VA Form 21P-535)

Documents and Forms

Document Name Document Type
Form 21P-535 Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) Form
21P-535 Application for Dependency and Indemnity Compensation by VA Form 21P-535 - New Burden Statement (OMB Exp. 7-31-24).pdf www.va.gov/vaforms Form
21P-535 Application for Dependency and Indemnity Compensation by VA Form 21P-535 - New Burden Statement (OMB Exp. 7-31-24).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)	Agency IC Tracking Number:	2900-0005

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21P-535	Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation when Applicable)	VA Form 21P-535 - New Burden Statement (OMB Exp. 7-31-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records
Title: 58VA21/22/28, Compensation, Pension, Education and Vocational Rehabilitation and Employment Records - VA	FR Citation: 84 FR 4138

Number of Respondents: 1,000	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	1,000	-2,600	3,600
Annual IC Time Burden (Hours)	1,200	-3,120	4,320
Annual IC Cost Burden (Dollars)	29,760	-73,308	103,068

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.