Agency Information Collection Activity Under OMB Review: Income and Asset Statement in Support of Claim for Pension or Parents' Dependency and Indemnity Compensation (D.I.C.)
In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Benefits Administration, Department of Veterans Affairs, will submit the co...
Veterans Benefits Administration, Department of Veterans Affairs.
ACTION:
Notice.
SUMMARY:
In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Benefits Administration, Department of Veterans Affairs, will submit the collection of information abstracted below to the Office of Management and Budget (OMB) for review and comment. The PRA submission describes the nature of the information collection and its expected cost and burden, and it includes the actual data collection instrument.
DATES:
Comments and recommendations for the proposed information collection should be sent by November 18, 2026.
ADDRESSES:
To submit comments and recommendations for the proposed information collection, please type the following link into your browser:
www.reginfo.gov/public/do/PRAMain,
select “Currently under Review—Open for Public Comments”, then search the list for the information collection by Title or “OMB Control No. 2900-0829.”
FOR FURTHER INFORMATION CONTACT:
VA PRA information: Dorothy Glasgow, 202-461-1084,
VAPRA@va.gov
SUPPLEMENTARY INFORMATION:
Title:
21P-0969, Income and Asset Statement in Support of claim for Pension or Parents' Dependency and Indemnity Compensation (D.I.C.).
Type of Review:
Extension of a currently approved collection.
Abstract:
VA Form 21P-0969 allows claimants and beneficiaries to report unreimbursed medical expenses to reduce their countable income for needs-based benefit programs, such as VA Pension and Parents' Dependency and Indemnity Compensation (DIC). These expenses are deducted from otherwise countable income to determine eligibility for income-based benefits and the rate payable. Veteran Service Representatives use the information on the form to adjust benefits.
An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The
Federal Register
Notice with a 60-day comment period soliciting comments on this collection of information was published at 91 FR 48509, July 31, 2026.
Affected Public:
Individuals or Households.
Estimated Annual Burden:
27,500 hours.
Estimated Average Burden per Respondent:
30 minutes.
Use this for formal legal and research references to the published document.
91 FR 66202
Web Citation
Suggested Web Citation
Use this when citing the archival web version of the document.
“Agency Information Collection Activity Under OMB Review: Income and Asset Statement in Support of Claim for Pension or Parents' Dependency and Indemnity Compensation (D.I.C.),” thefederalregister.org (October 19, 2026), https://thefederalregister.org/documents/2026-21322/agency-information-collection-activity-under-omb-review-income-and-asset-statement-in-support-of-claim-for-pension-or-pa.
www.reginfo.gov/public/do/PRAMain
44 U.S.C. 3501