Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (21-8938 & 21-8938-1)

Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (VA Forms 21P-8938 & 21P-8938-1)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form VAF 21P-8938-1 Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (21-8938 & 21-8938-1) Form
VAF 21P-8938-1 Student Beneficiary Report-REPS (Restored Entitlement Pr VBA-21P-8938-1-ARE.pdf www.va.gov/vaforms Form
VAF 21P-8938 Student Beneficiary Report-REPS (Restored Entitlement Pr VBA-21P-8938-ARE.pdf Xerox Hines Form

Information Collection (IC) Details

IC Title:	Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (21-8938 & 21-8938-1)	Agency IC Tracking Number:	2900-0399 VBA-COMP-DB

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VAF 21P-8938-1	Student Beneficiary Report-REPS (Restored Entitlement Program for Survivors)	VBA-21P-8938-1-ARE.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VAF 21P-8938	Student Beneficiary Report-REPS (Restored Entitlement Program for Survivors)	VBA-21P-8938-ARE.pdf	Xerox Hines	Yes	No	Fillable Printable

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: 5,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5,300	0	5,300
Annual IC Time Burden (Hours)	1,767	0	1,767
Annual IC Cost Burden (Dollars)	42,135	42,135	0

Documents for IC

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.