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Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)
Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)
OMB: 2900-0003
IC ID: 28070
OMB.report
VA
OMB 2900-0003
ICR 202409-2900-013
IC 28070
( )
Documents and Forms
Document Name
Document Type
Form 21P-530EZ
Application for Burial Benefits (Under 38 U.S.C. Chapter 23) (VA Form 21P-530EZ)
Form
21P-530EZ APPLICATION FOR BURIAL BENEFITS (Under 38 U.S.C. Chapter
21P-530EZ (9-25-24).pdf
www.va.gov/vaforms
Form
21P-530EZ APPLICATION FOR BURIAL BENEFITS (Under 38 U.S.C. Chapter
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:
21P-530EZ
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
38 CFR 3.1708
38 CFR 3.1709
38 CFR 3.1710
38 CFR 3.1711
38 CFR 3.1712
38 CFR 3.1713
38 CFR 3.1701
38 CFR 3.1702
38 CFR 3.1703
38 CFR 3.1700
38 CFR 3.1704
38 CFR 3.1705
38 CFR 3.1706
38 CFR 3.1707
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
21P-530EZ
APPLICATION FOR BURIAL BENEFITS (Under 38 U.S.C. Chapter 23)
21P-530EZ (9-25-24).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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 %
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
132,055
0
3,608
0
0
128,447
Annual IC Time Burden (Hours)
66,028
0
1,804
0
0
64,224
Annual IC Cost Burden (Dollars)
0
0
0
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.