Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) (VA Form 21P-535)

Forms and Documents

Document Name	Status
Form 21P-535 Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) Form and Instruction	Modified
SupportState(2900-0005).docx Supporting Statement A	2018-02-09
2900-0005 30-Day FRN.pdf Supplementary Document	2018-02-05
2900-0005 60-Day FRN.pdf Supplementary Document	2017-12-01

IC Document Collections

IC ID	Document Title	Status
28078	Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) Form and Instruction	Modified

ICR Details

OMB Control No: 2900-0005	ICR Reference No: 201708-2900-010
Status: Active	Previous ICR Reference No: 201412-2900-012
Agency/Subagency: VA	Agency Tracking No: VBA-P&F-NK
Title: Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) (VA Form 21P-535)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/15/2018
	Date Received in OIRA: 03/09/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2021	36 Months From Approved	05/31/2018
Responses	3,600	0	3,600
Time Burden (Hours)	4,320	0	4,320
Cost Burden (Dollars)	103,068	0	103,680

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Abstract: VA Form 21P-535 is used by surviving parents to apply for Dependency and Indemnity Compensation (DIC), death compensation, and/or accrued benefits. This information collection allows VA to determine eligibility for this benefit.

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Authorizing Statute(s): US Code: 38 USC 1310 Name of Law: Deaths entitling survivors to dependency and indemnity compensation
   US Code: 38 USC 1315 Name of Law: Dependency and indemnity compensation to parents
   US Code: 38 USC 1121 Name of Law: Death Compensation - Basic entitlement
   US Code: 38 USC 5121 Name of Law: Payment of certain accrued benefits upon death of a beneficiary
   US Code: 38 USC 501(a)(2) Name of Law: Rules and regulations
  

Citations for New Statutory Requirements: None

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EO 13771 Designation: Deregulatory

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 57029	12/01/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 2215	02/05/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation)	21P-535	Application for Dependency and Indemnity Compensation by Parent(s) (Including Accrued Benefits and Death Compensation when Applicable)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,600	3,600	0	0	0	0
Annual Time Burden (Hours)	4,320	4,320	0	0	0	0
Annual Cost Burden (Dollars)	103,068	103,680	0	-612	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $167,544

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/09/2018

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