Information Collection

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

IC 28614 under ICR 201708-2900-015 · 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⚠️ Notice: This information collection may be referencing outdated material.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 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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.