OMB control number

Fiduciary Agreement (VA Form 21P-4703)

OMB 2900-0319 · VA.

OMB 2900-0319

VA Form 21P-4703 is the prescribed form used by VBA as a legal contract between the VA and a federal fiduciary. The form outlines the roles and responsibilities of the fiduciary with respect to the uses of VA funds. Without this agreement, disbursement of funds to the fiduciary would not be possible.

The latest form for Fiduciary Agreement (VA Form 21P-4703) expires 2027-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 21P-4703 Fiduciary Agreement (VA Form 21P-4703) Form
30-Day FRN - 2900-0319 (2024).pdf Supplementary Document
2900-0319 Supporting Statement (21P-4703).docx Supporting Statement A
60-Day FRN (published).pdf Supplementary Document
Fiduciary Agreement (VA Form 21P-4703) Form

All Historical Document Collections

202401-2900-007 Approved without change	Revision of a currently approved collection	2024-04-15
202012-2900-002 Approved without change	Reinstatement without change of a previously approved collection	2021-05-05
201607-2900-006 Approved without change	Revision of a currently approved collection	2017-08-16
201506-2900-007 Approved without change	Revision of a currently approved collection	2015-11-13
201308-2900-028 Approved without change	No material or nonsubstantive change to a currently approved collection	2013-09-19
201205-2900-005 Approved without change	Extension without change of a currently approved collection	2012-11-01
200906-2900-010 Approved without change	Extension without change of a currently approved collection	2009-09-11
200608-2900-012 Approved without change	Revision of a currently approved collection	2006-08-29
200309-2900-001 Approved with change	Revision of a currently approved collection	2003-09-11
200307-2900-002 Withdrawn and continue	Revision of a currently approved collection	2003-07-10
200008-2900-011 Approved without change	Reinstatement without change of a previously approved collection	2000-08-18
199909-2900-015 Withdrawn	Reinstatement without change of a previously approved collection	1999-09-13
199506-2900-010 Approved without change	Extension without change of a currently approved collection	1995-06-26
199202-2900-015 Approved without change	Reinstatement with change of a previously approved collection	1992-02-24
198810-2900-002 Approved without change	Revision of a currently approved collection	1988-10-28
198601-2900-010 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-01-08
198511-2900-002 Approved without change	Revision of a currently approved collection	1985-11-25
198308-2900-004 Approved without change	Reinstatement with change of a previously approved collection	1983-08-03
198209-2900-042 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-09-08
198106-2900-010 Approved without change	New collection (Request for a new OMB Control Number)	1981-06-17