VA FORM 21P 530 APR Page 2 OMB Approved No 2 2022

VA FORM 21P-530 APR 2017 Page 2 OMB Approved No. 2900-0003 Respondent Burden 15 Minutes Expiration Date 04/30/2020 APPLICATION FOR BURIAL BENEFITS Under 38 U.S.C. VA FORM APR 2017 21P-530 SUPERSEDES VA FORM 21P-530 JUN 2015 WHICH WILL NOT BE USED. Page 1 2. WHO SHOULD FILE A CLAIM - VA may grant a claim that any eligible person files. INSTRUCTIONS FOR COMPLETING APPLICATION FOR BURIAL BENEFITS UNDER 38 U*S*C. CHAPTER 23 IMPORTANT - READ THESE INSTRUCTIONS CAREFULLY PRIVACY ACT INFORMATION The responses you submit are considered confidential 38 U*S*C. 5701. They may be disclosed outside the Department of Veterans Affairs VA only if the disclosure is authorized under the Privacy Act including the routine uses identified in the VA system of records 58VA21/22/28 Compensation Pension Education and Vocational Rehabilitation and Employment Records - VA published in the Federal Register. The requested information is considered relevant and necessary to determine maximum benefits under the law and is required to obtain benefits. Information submitted is subject to verification through computer matching programs with other agencies. RESPONDENT BURDEN We need this information to determine your eligibility to burial benefits. Title 38 United States Code allows us to ask for this information* We estimate that you will need an average of 15 minutes to review the instructions find the information and complete this form* VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed* Valid OMB control numbers can be located on the OMB Internet Page at www. reginfo. gov/public/do/PRAMain* If desired you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form* 1. GENERAL a* ELIGIBILITY - NON-SERVICE-CONNECTED 1 NON-SERVICE-CONNECTED BURIAL ALLOWANCE - A one-time payment for a veteran who was receiving VA pension or disability compensation would have been receiving disability compensation but for the receipt of military retired pay or had an eligible pending claim at the time of death. 2 SERVICE-CONNECTED BURIAL ALLOWANCE - A one-time payment for a veteran who was rated totally disabled for a service-connected disability or disabilities excluding individual unemployability or who died of a service-connected disability. 3 VA MEDICAL CENTER DEATH BURIAL ALLOWANCE - A one-time payment for a veteran whose death was not serviceconnected and who died while hospitalized by VA. b. BURIAL ALLOWANCE - A one-time benefit payment payable toward the expenses of the funeral and burial of the veteran s remains. Burial includes all legal methods of disposing of the veteran s remains including but not limited to cremation burial at sea and medical school donation* c* PLOT OR INTERMENT ALLOWANCE - A one-time benefit payment payable toward 1 Expenses incurred for the plot or interment if burial was not in a national cemetery or other cemetery under the jurisdiction of the United States OR 2 Expenses payable to a State or political subdivision of a State if the veteran died from non-service-connected causes and was buried in a State-owned cemetery or section used solely for the remains of persons eligible for burial in a national cemetery.