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

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)

OMB: 2900-0017

IC ID: 28106

Information Collection (IC) Details

View Information Collection (IC)

VA Fiduciary's Account (VA Form 21P-4706b), Court Appointed Fiduciary's Account (VA Form 21P-4706c) Certificate of Bal. on Deposit and Auth. to Disclose Financial Record (VA Form 21P-4718a) 2900-0017
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 13.200 38 CFR 13.210 38 CFR 13.280

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21P-4706b VA Fiduciary's Account 21P-4706b(9-18-24).pdf www.va.gov/vaforms Yes No Fillable Printable
Form 21P-4706c Court Appointed Fiduciary's Account 21P-4706c(7-11-24).pdf www.va.gov/vaforms Yes No Fillable Printable
Form 21P-4718a Certificate of Balance on Deposit and Authorization to Disclose Financial Record 21P-4718a(7-11-24).pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

58VA 21/22/28 Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28),  84 FR 4138

30,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 30,000 0 -23,159 0 0 53,159
Annual IC Time Burden (Hours) 10,000 0 -7,720 0 0 17,720
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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