OMB control number

Fiduciary Statement in Support of Appointment (21P-0792)

OMB 2900-0670 · VA.

OMB 2900-0670

VA Form 21P-0792 will be completed by individuals who are seeking to be appointed as fiduciaries of VA beneficiaries. The information will be used by VA field examiners to determine whether an individual is an appropriate fiduciary for a VA beneficiary and make an inquiry into his or her credit and criminal background.

The latest form for Fiduciary Statement in Support of Appointment (21P-0792) expires 2020-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 21P-792 Fiduciary Statement in Support of Appointment (21P-0792) Form
30-Day FRN - 2900-0670 (2017).pdf Supplementary Document
30-Day FRN 2900-0670 Updated 06082017 Updated 08 16 2017.docx Supplementary Document
60-day FRN - 2900-0670 (2017).pdf Supplementary Document
60-day FRN - 2900-0670 (2017) - Approved.pdf Supplementary Document
Supporting Statement for 2900-0670 - VA Form 21P-0792 04 03 17) Updated 06132017 Updated 08162017.docx Supporting Statement A
Fiduciary Statement in Support of Appointment (21P-0792) Form

All Historical Document Collections

201704-2900-001 Approved without change	Revision of a currently approved collection	2017-09-22
201405-2900-017 Approved without change	Revision of a currently approved collection	2015-02-12
201107-2900-026 Approved without change	Extension without change of a currently approved collection	2012-01-12
200810-2900-003 Approved without change	Extension without change of a currently approved collection	2009-01-06
200511-2900-011 Approved without change	New collection (Request for a new OMB Control Number)	2005-11-22