View Information Collection (IC)
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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Court Appointed Fiduciary's Account (letter size), Federal Fiduciary's Account, Account Book, and Court Appointed Fiduciary's Account, Certificate of Balance on Deposit and....
Agency IC Tracking Number:
2900-0017
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
38 CFR 13.58
38 CFR 13.61
38 CFR 13.57
38 CFR 13.62
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
VA Form 21P-4706c
COURT APPOINTED FIDUCIARY'S ACCOUNT
VA Form 21P-4706c (508 Compliant 5-19-15).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Form
VA Form 21P-4706b
VA FIDUCIARY'S ACCOUNT
VA Form 21P-4706b (508 Compliant 5-20-15).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Form
VA Form 21P-4718a
CERTIFICATE OF BALANCE ON DEPOSIT AND AUTHORIZATION TO DISCLOSE FINANCIAL RECORDS
VA Form 21P-4718a (508 Compliant 5-13-15).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Legislative Functions
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
35,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
35,000
0
3,488
0
0
31,512
Annual IC Time Burden (Hours)
11,667
0
-17,899
0
0
29,566
Annual IC Cost Burden (Dollars)
378,000
0
378,000
0
0
0
Documents for IC
Title
Document
Date Uploaded
Changes to VA Form 21-4706b
Changes to VA Form 4706b.docx
02/23/2015
Justification for Accounting Forms
2900-0017 justification (Active) edits.docx
05/12/2015
60 day FRN
60-day FRN Accounting Forms.doc
05/12/2015
30 day FRN
30 day FRN Accounting Forms.doc
05/12/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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