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Federal forms, ICRs, and supporting documents

OMB control number

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 · VA.

OMB 2900-0017

VA Forms 21P-4706b, 21P-4706c, and 21P-4718a will be completed by VA-appointed fiduciaries of VA beneficiaries. The information will be used by VA fiduciary hub staff to determine whether an individual is an appropriate fiduciary and properly using and maintaining an accounting of the VA beneficiaries compensation or pension payments. VA continues to use the information provided on these forms in the oversight of VA-appointed fiduciaries.

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 2027-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form
Supplementary Document
Supporting Statement A
Supplementary Document
All Historical Document Collections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Withdrawn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