View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 2900-0005	ICR Reference No: 202209-2900-011
Status: Historical Active	Previous ICR Reference No: 202005-2900-012
Agency/Subagency: VA	Agency Tracking No: VBA-P&F-YA
Title: Application for DIC by Parent(s) (Including Accrued Benefits and Death Compensation) (VA Form 21P-535)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/28/2022
	Date Received in OIRA: 09/22/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2024	07/31/2024	07/31/2024
Responses	3,600	0	3,600
Time Burden (Hours)	4,320	0	4,320
Cost Burden (Dollars)	103,068	0	103,068

Authorizing Statute(s): US Code: 38 USC 5121 Name of Law: Payment of certain accrued benefits upon death of a beneficiary
   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 501(a)(2) Name of Law: Rules and regulations

Citations for New Statutory Requirements: None

Annual Cost to Federal Government: $180,453

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? No

Agency Contact: Maribel Aponte 202 266-4688 maribel.aponte@va.gov

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