04-23-2022, 09:35 PM
Title: Application for Burial Benefits (Under 38 U.S.C. Chapter 23), VA Form 21P-530EZ
OMB Control Number: 2900-0003.
Type of Review: Revision of a currently approved collection.
Abstract: The major use of the form is to determine a claimant’s eligibility to for
monetary burial benefits, including the burial allowance, plot or interment allowance,
and transportation reimbursement for a deceased Veteran.
The respondent burden has increased due to the estimated number of receivables
averaged over the past year.
VA Form 21P-530EZ has been updated as follows:
• Updated instructions to reflect the regulation change and updates to the form
• Split Section I into Section I – Veteran’s Information and Section II - Claimant’s
Information
• Moved Veteran’s Information Questions to Section I
• Changed Section Titles to Section III - Veteran’s Service Information; Section IV
– Information Regarding Final Resting Place; Section V – Claim for Burial
Allowance; Section VI - Claim for Plot and/or Transportation Allowance
• Question 18 – added Tribal trust land, name of cemetery or tribal trust land and
zip code
• Question 20A – removed VA Hospitalization Death / Amount paid from (now
covered under non-service-connected burial allowance)
• Moved Question 20A to Section VI (now question 23)
OMB Control Number: 2900-0003.
Type of Review: Revision of a currently approved collection.
Abstract: The major use of the form is to determine a claimant’s eligibility to for
monetary burial benefits, including the burial allowance, plot or interment allowance,
and transportation reimbursement for a deceased Veteran.
The respondent burden has increased due to the estimated number of receivables
averaged over the past year.
VA Form 21P-530EZ has been updated as follows:
• Updated instructions to reflect the regulation change and updates to the form
• Split Section I into Section I – Veteran’s Information and Section II - Claimant’s
Information
• Moved Veteran’s Information Questions to Section I
• Changed Section Titles to Section III - Veteran’s Service Information; Section IV
– Information Regarding Final Resting Place; Section V – Claim for Burial
Allowance; Section VI - Claim for Plot and/or Transportation Allowance
• Question 18 – added Tribal trust land, name of cemetery or tribal trust land and
zip code
• Question 20A – removed VA Hospitalization Death / Amount paid from (now
covered under non-service-connected burial allowance)
• Moved Question 20A to Section VI (now question 23)