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http://www2.erie.gov/veterans/sites/www2.erie.gov.veterans/files/uploads/pdfs/VBA-21-0792_Fiduciary_Statement.pdf
FIDUCIARY STATEMENT IN SUPPORT OF APPOINTMENT OMB Approved No. 2900-0670 Respondent Burden: 15 minutes ... I understand that completion of this form will not necessarily result in my appointment as a VA fiduciary. I CERTIFY THAT the statements on this form are true and correct to the best of my knowledge and belief.
https://benefits.va.gov/FIDUCIARY/references.asp
References, Fast Letters and Forms. Fiduciary Federal Regulation (38 CFR, Part 13 - Fiduciary Activities) 38 USC, Part IV, Chapter 55. 38 USC, Part IV, Chapter 61
https://www.reginfo.gov/public/do/DownloadDocument?objectID=26475901
Please initial the block. I understand that completion of this form will not necessarily result in my appointment as a VA fiduciary. I CERTIFY THAT the statements on this form are true and correct to the best of my knowledge and belief.
https://www.federalregister.gov/documents/2017/06/14/2017-12310/agency-information-collection-activity-fiduciary-statement-in-support-of-appointment
Title: Fiduciary Statement in Support of Appointment (VA Form 21P-0792) OMB Control Number: 2900-0670. Type of Review: Revision of an already approved collection. Abstract: VA Form 21P-0792 will be completed by individuals who are seeking to be appointed as fiduciaries of VA beneficiaries. The information will be used by VA field examiners to ...
http://www.benefits.va.gov/WARMS/docs/admin21/guide/ffpguide.doc
VA Form 21-0792: Fiduciary Statement in Support of Appointment, Continued. c. Completion Instructions (continued) Section Required Information 15A. LIST YOUR SOURCES OF INCOME Self-explanatory. The fact that an individual has an adequate income and will not have to rely on the beneficiary's VA income is an important consideration in qualifying ...
https://www.federalregister.gov/documents/2017/08/23/2017-17813/agency-information-collection-activity-under-omb-review-fiduciary-statement-in-support-of
Agency Information Collection Activity Under OMB Review: Fiduciary Statement in Support of Appointment. A Notice by the Veterans Affairs Department on 08/23/2017. ... Only official editions of the Federal Register provide legal notice to the public and judicial notice …
https://regulations.justia.com/regulations/fedreg/2017/06/14/2017-12310.html
Agency Information Collection Activity: Fiduciary Statement in Support of Appointment, 27331-27332 [2017-12310] Download as PDF Federal Register / Vol. 82, No. 113 / Wednesday, June 14, 2017 / Notices By direction of the Secretary.
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