Agency Information Collection Activity Under OMB Review: Intent To File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC

---
identifier: "/us/fr/2026-03852"
source: "fr"
legal_status: "authoritative_unofficial"
title: "Agency Information Collection Activity Under OMB Review: Intent To File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC"
title_number: 0
title_name: "Federal Register"
section_number: "2026-03852"
section_name: "Agency Information Collection Activity Under OMB Review: Intent To File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC"
positive_law: false
currency: "2026-02-26"
last_updated: "2026-02-26"
format_version: "1.1.0"
generator: "[email protected]"
agency: "Veterans Affairs Department"
document_number: "2026-03852"
document_type: "notice"
publication_date: "2026-02-26"
agencies:
  - "Veterans Affairs Department"
fr_citation: "91 FR 9695"
fr_volume: 91
docket_ids:
  - "OMB Control No. 2900-0826"
comments_close_date: "2026-03-30"
fr_action: "Notice."
---


#  Agency Information Collection Activity Under OMB Review: Intent To File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC

**AGENCY:**

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 (VBA), 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 March 30, 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. 2900-0826.”

**FOR FURTHER INFORMATION CONTACT:**

VA PRA information: Dorothy Glasgow, 202-461-1084, *[email protected].*

**SUPPLEMENTARY INFORMATION:**

*Title:* Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21-0966).

*OMB Control Number:* 2900-0826. *https://www.reginfo.gov/public/do/PRASearch.*

*Type of Review:* Revision of a currently approved collection.

*Abstract:* VA Form 21-0966 is used to gather the necessary information to determine an effective date for an award granted in association with a complete claim filed within one year of such form. VA also uses it as a request for application and responds by mailing the claimant a letter of receipt, along with the appropriate VA form or application for VA benefits. Without this information, determination of entitlement would not be possible.

No changes have been made to this form. The respondent burden has increased due to the estimated number of receivables averaged over the past year.

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 insert citation date: 90 FR 58372, December 16, 2025.

*Affected Public:* Individuals or Households.

*Estimated Annual Burden:* 58,439 hours.

*Estimated Average Burden per Respondent:* 5 minutes.

*Frequency of Response:* One time.

*Estimated Number of Respondents:* 701,272 per year.

*Authority:* 44 U.S.C. 3501 *et seq.*

Dorothy Glasgow,

Acting, VA PRA Clearance Officer, Office of Information Technology/Data Governance Analytics, Department of Veterans Affairs.