Information Collection

Eligibility Verification Reports

IC 28278 under ICR 201404-2900-008 · OMB 2900-0101.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0101 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 21P-0510 Eligibility Verification Report Instructions Eligibility Verification Reports	Form
Form VA Form 21P-0510(S Eligibility Verification Report Instructions (Spanish) Eligibility Verification Reports	Form
Form VA Form 21P-0512S- Old Law and Section 306 Eligibility Verification Report (Surviving Spouse) Eligibility Verification Reports	Form
Form VA Form 21P-0512S- Old Law and Section 306 Eligibility Verification Report (Surviving Spouse) Eligibility Verification Reports	Form
Form VA Form 21P-0512V- Old Law Section 306 Eligibility Verification Report (Veteran) Eligibility Verification Reports	Form
Form VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report (Children Only) Eligibility Verification Reports	Form
Form VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report (Children Only) (Spanish) Eligibility Verification Reports	Form
Form VA Form 21P-0514-1 DIC Parent's Eligibility Verification Report Eligibility Verification Reports	Form
Form VA Form 21P-0514-1 DIC Parent's Eligibility Verification Report (Spanish) Eligibility Verification Reports	Form
Form VA Form 21P-0516-1 Improved Pension Eligibility Verification Report Eligibility Verification Reports	Form
Form VA Form 21P-0516-1 Improved Pension Eligibility Verification Report (Veteran with No Children) (Spanish) Eligibility Verification Reports	Form
Form VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Veteran with Children) Eligibility Verification Reports	Form
Form VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Veteran with Children) (Spanish) Eligibility Verification Reports	Form
Form VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviving Spouse with No Children) Eligibility Verification Reports	Form
Form VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviving Spouse with No Children) (Spanish) Eligibility Verification Reports	Form
Form VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child or Children) Eligibility Verification Reports	Form
Form VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child or Children) (Spanish) Eligibility Verification Reports	Form
Form VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviving Spouse with Children) Eligibility Verification Reports	Form
Form VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviving Spouse with Children) Eligibility Verification Reports	Form
VA Form 21P-0510 Eligibility Verification Report Instructions 21P-0510(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0510(S Eligibility Verification Report Instructions (Spanish) 21P-0510(Spanish)(7-14).pdf vaww.va.gov/vaforms	Form
VA Form 21P-0512S- Old Law and Section 306 Eligibility Verification Report 21P-0512S-1(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0512S- Old Law and Section 306 Eligibility Verification Report 21P-0512S-1(Spanish)(7-14).pdf vaww.va.gov/vaforms	Form
VA Form 21P-0512V- Old Law Section 306 Eligibility Verification Report (Vet 21-0512V-1(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report 21P-0513-1(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report 21P-0513-1(Spanish)(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0514-1 DIC Parent's Eligibility Verification Report 21P-0514-1(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0514-1 DIC Parent's Eligibility Verification Report (Spanish) 21P-0514-1(Spanish)(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report 21P-0516-1(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report (Vetera 21P-0516-1(Spanish)(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera 21P-0517-1(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera 21P-0517-1(Spanish)(7-14).pdf vaww.gov/vaforms	Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv 21P-0518-1(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv 21P-0518-1(Spanish)(7-14).pdf vaww.va.gov/vaforms	Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child 21P-0519C-1(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child 21P-0519C-1(Spanish)(7-14).pdf vaww.va.gov/vaforms	Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv 21P-0519S-1(7-14).pdf www.va.gov/vaforms	Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv VBA-21P-0519s-1(Spanish)-ARE.pdf www.va.gov/vaforms	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Eligibility Verification Reports

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.277 38 CFR 3.256

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21P-0510	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0510(Spanish)	vaww.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0512S-1	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0512S-1 (Spanish)	vaww.va.gov/vaforms	Yes	No	Fillable Fileable
Form	VA Form 21P-0512V-1	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0513-1	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0513-1 (Spanish)	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0514-1	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0514-1 (Spanish)	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0516-1	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0516-1 (Spanish)	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0517-1	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0517-1 (Spanish)	vaww.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0518-1	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0518-1 (Spanish)	vaww.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519C-1	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519C-1 (Spanish)	vaww.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519S-1	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519S-1(Spanish)	www.va.gov/vaforms	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 219,000

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	219,000	0	219,000
Annual IC Time Burden (Hours)	113,075	0	113,075
Annual IC Cost Burden (Dollars)	2,713,800	2,713,800	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.

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