Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0003 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 21P-530EZ Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ) Form
VA Form 21P-530EZ Application for Burial Benefits 21P-530EZ(9-25-24).pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)	Agency IC Tracking Number:	2900-0003

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.1712 38 CFR 3.1713 38 CFR 3.1702 38 CFR 3.1703 38 CFR 3.1711 38 CFR 3.1700 38 CFR 3.1704 38 CFR 3.1701 38 CFR 3.1705 38 CFR 3.1706 38 CFR 3.1707 38 CFR 3.1708 38 CFR 3.1709 38 CFR 3.1710

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21P-530EZ	Application for Burial Benefits	21P-530EZ(9-25-24).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: 84 FR 4138

Number of Respondents: 132,055	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	132,055	3,608	128,447
Annual IC Time Burden (Hours)	66,028	1,804	64,224
Annual IC Cost Burden (Dollars)	0	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.