Information Collection

Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors)

IC 28614 under ICR 201107-2900-006 · OMB 2900-0399.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0399 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 21-8938-1 Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors)	Form
VA Form 21-8938 Student Beneficiary Report - REPS (Restored Entitlement 21-8938.pdf This form is available from the VA ITC in Hines, IL	Form
VA Form 21-8938-1 Student Beneficiary Report - REPS (Restored Entitlement VBA-21-8938-1-ARE.pdf www.va.gov/vaforms	Form

IC Title:

Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors)

Agency IC Tracking Number:

2900-0399

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.812

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21-8938-1	Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors)	VBA-21-8938-1-ARE.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-8938	Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors)	21-8938.pdf	This form is available from the VA ITC in Hines, IL	No		Paper Only

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	5,300	5,300
Annual IC Time Burden (Hours)	1,767	1,767
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.