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OMB Control No: 2900-0004	ICR Reference No: 202606-2900-008
Status: Received in OIRA	Previous ICR Reference No: 202502-2900-001
Agency/Subagency: VA	Agency Tracking No: VBA-P&F-KM
Title: Application for D.I.C., Survivors Pension, and/or Accrued Benefits (VA Form 21P-534EZ); Application for D.I.C. by a Surviving Spouse or Child-Inservice Death Only (VA Form 21P-534a)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 09/09/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2028
Responses	110,000	111,000
Time Burden (Hours)	45,833	51,800
Cost Burden (Dollars)	0	0

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 1151 Name of Law: Benefits for persons disabled by treatment or vocational rehabilitation
   US Code: 38 USC 1542 Name of Law: Children of veterans of a period of war
   US Code: 38 USC 1541 Name of Law: Surviving spouses of veterans of a period of war
   US Code: 38 USC 1310 Name of Law: Deaths entitling survivors to dependency and indemnity compensation
   US Code: 38 USC 5101(a) Name of Law: Claims and forms

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	110,000	111,000	-1,000
Annual Time Burden (Hours)	45,833	51,800	-5,967
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The burden has decreased since the previous approval due to the shortening of the length of the form from 20 pages to 7 pages, as well as changing the burden estimate of 40 minutes to 25 minutes.

Annual Cost to Federal Government: $5,532,379

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: Dorothy Glasgow 240 205-5190 dorothy.glasgow@va.gov

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