Information Collection

Eligibility Verification Reports

IC 28278 under ICR 201708-2900-012 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Reports	Form
VA Form 21P-0510 Eligibility Verification Report Instructions 21P-0510(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0510 ( Eligibility Verification Report Instructions (Spanish) 21P-0510(Spanish)(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0512S- Old Law Section 306 Eligibility Verification Report (Sur 21P-0512s-1(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0512S- Old Law and Section 306 Eligibility Verification Report 21P-0512s-1(Spanish)(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0512V- Old Law and 306 Eligibility Verification Report (Veteran 21P-0512V-1(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report 21P-0513-1(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report 21P-0513-1(Spanish)(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0514-1 DIC Eligibility Verification Report 21P-0514-1(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0514-1 DIC Parent's Eligibility Verification Report 21P-0514-1(Spanish)(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report (Vetera 21P-0516-1(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report (Vetera 21P-0516-1(Spanish)(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera 21P-0517-1(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera 21P-0517-1(Spanish)(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv 21P-0518-1(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv 21P-0518-1(Spanish)(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child 21P-0519C-1(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child 21P-0519C-1(Spanish)(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv 21P-0519s-1(8-29-17).pdf www.va.gov/vaforms	Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv 21P-0519s-1(Spanish)(8-29-17).pdf www.va.gov/vaforms	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Eligibility Verification Reports

Agency IC Tracking Number:

2900-0101

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.256 38 CFR 3.277

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 21P-0510	Eligibility Verification Report Instructions	21P-0510(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0510 (Spanish)	Eligibility Verification Report Instructions (Spanish)	21P-0510(Spanish)(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0512S-1	Old Law Section 306 Eligibility Verification Report (Surviving Spouse)	21P-0512s-1(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0512S-1 (Spanish)	Old Law and Section 306 Eligibility Verification Report (Surviving Spouse)	21P-0512s-1(Spanish)(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0512V-1	Old Law and 306 Eligibility Verification Report (Veteran)	21P-0512V-1(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0513-1	Old Law and Section 306 Eligibility Verification Report (Children Only)	21P-0513-1(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0513-1 (Spanish)	Old Law and Section 306 Eligibility Verification Report (Children Only)	21P-0513-1(Spanish)(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0514-1	DIC Eligibility Verification Report	21P-0514-1(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0514-1 (Spanish)	DIC Parent's Eligibility Verification Report	21P-0514-1(Spanish)(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0516-1	Improved Pension Eligibility Verification Report (Veteran With No Children)	21P-0516-1(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0516-1 (Spanish)	Improved Pension Eligibility Verification Report (Veteran With No Children)	21P-0516-1(Spanish)(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0517-1	Improved Pension Eligibility Verification Report (Veteran With Children)	21P-0517-1(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0517-1 (Spanish)	Improved Pension Eligibility Verification Report (Veteran With Children)	21P-0517-1(Spanish)(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0518-1	Improved Pension Eligibility Verification Report (Surviving Spouse With No Children)	21P-0518-1(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0518-1 (Spanish)	Improved Pension Eligibility Verification Report (Surviving Spouse With No Children)	21P-0518-1(Spanish)(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519C-1	Improved Pension Eligibility Verification Report (Child or Children)	21P-0519C-1(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519C-1 (Spanish)	Improved Pension Eligibility Verification Report (Child or Children)	21P-0519C-1(Spanish)(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519S-1	Improved Pension Eligibility Verification Report (Surviving Spouse With Children)	21P-0519s-1(8-29-17).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519S-1 (Spanish)	Improved Pension Eligibility Verification Report (Surviving Spouse With Children)	21P-0519s-1(Spanish)(8-29-17).pdf	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: Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)

FR Citation: 77 FR 42593

Number of Respondents: 69,000

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	69,000	-150,000	219,000
Annual IC Time Burden (Hours)	34,500	-78,575	113,075
Annual IC Cost Burden (Dollars)	0	-2,713,800	2,713,800

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.