Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors)

Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) (VA Form 21P-8924)

OMB: 2900-0390

IC ID: 28601

Information Collection (IC) Details

View Information Collection (IC)

Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) 2900-0390
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 3.812

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 21P-8924 Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement for Survivors) 21P-8924(12-17).pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)  77 FR 42593

1,800 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,800 0 0 0 1,800 0
Annual IC Time Burden (Hours) 600 0 0 0 600 0
Annual IC Cost Burden (Dollars) 14,316 0 14,316 0 0 0

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