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

OMB 2900-0017

VA maintains supervision of the distribution and use of VA benefits paid to fiduciaries on behalf of VA beneficiaries who are incompetent, a minor, or under legal disability. The forms are used to verify beneficiaries’ deposit remaining at a financial institution against a fiduciary’s accounting. The following forms will be used to ensure claimants’ benefits payments are administered properly. (a) VA Forms 21P-4706b and 4706c are used by VA to determine proper usage of benefits paid to fiduciaries. The 21P–4706c is provided to assist VA fiduciaries in conforming to requirements of various State courts. (b) VA Form 21P–4718a—Fiduciaries are required to obtain certifications that the balances remaining on deposit in financial institutions as shown on accountings are correct. Certifying official at a financial institution completing the form must affix the institution’s official seal or stamp. The data collected is used to confirm appointment of a fiduciary for a VA beneficiary and to prevent fiduciaries from supplying false certification, embezzling funds, and possibly prevent and/or identify fraud, waste and abuse of government funds paid to fiduciaries on behalf of VA beneficiaries. Without this information, VA would be unable to determine if the veteran's fiduciary is properly using the funds for this benefit according to VA law.

The latest form for 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) expires 2021-12-31 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2024-09-20
Approved without change
Extension without change of a currently approved collection 2021-10-28
Approved without change
Reinstatement without change of a previously approved collection 2019-09-06
Approved without change
Revision of a currently approved collection 2016-02-16
Comment filed on proposed rule and continue
Revision of a currently approved collection 2015-11-17
Comment filed on proposed rule and continue
Revision of a currently approved collection 2013-11-14
Approved without change
Extension without change of a currently approved collection 2012-09-27
Approved without change
Extension without change of a currently approved collection 2009-09-11
Approved without change
Extension without change of a currently approved collection 2006-11-06
Approved without change
Extension without change of a currently approved collection 2003-10-24
Approved without change
Reinstatement with change of a previously approved collection 2000-07-24
Withdrawn
Reinstatement with change of a previously approved collection 1999-09-13
Approved without change
Revision of a currently approved collection 1995-08-28
Approved without change
Revision of a currently approved collection 1993-01-29
Approved without change
Revision of a currently approved collection 1990-03-01
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-05-05
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-04-21
Approved without change
Revision of a currently approved collection 1987-02-13
Approved with change
No material or nonsubstantive change to a currently approved collection 1986-08-08
Approved without change
Reinstatement with change of a previously approved collection 1984-02-10
Approved with change
No material or nonsubstantive change to a currently approved collection 1982-09-07
Approved with change
No material or nonsubstantive change to a currently approved collection 1979-01-19
Approved without change
Revision of a currently approved collection 1979-01-19
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-08-02
Approved with change
No material or nonsubstantive change to a currently approved collection 1977-01-24
Approved without change
Revision of a currently approved collection 1976-06-22
Approved with change
No material or nonsubstantive change to a currently approved collection 1976-03-18

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