Eligibility Verification Reports

Eligibility Verification Reports (EVRs)

OMB: 2900-0101

IC ID: 28278

⚠️ Notice: This information collection may be referencing outdated material.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

2024-05-01 - Extension without change of a currently approved collection

Documents and Forms

Document Name Document Type
Form VA Form 21P-0510 ( Eligibility Verification Reports Form
VA Form 21P-0510 ( Eligibility Verification Report (Spanish) 21P-0510(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0510 ( Eligibility Verification Report (Spanish) 21P-0510(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0512S- Old Law Section 306 Eligibility Verification Report (Sur 21P-0512s-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0512S- Old Law Section 306 Eligibility Verification Report (Sur 21P-0512s-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0519S- Old Law Section 306 Eligibility Verification Report (Sur VBA-21P-0519S-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0519S- Old Law Section 306 Eligibility Verification Report (Sur VBA-21P-0519S-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0512V- Old Law and Section 306 Eligibility Verification Report 21P-0512V-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0512V- Old Law and Section 306 Eligibility Verification Report 21P-0512V-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report 21P-0513-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report 21P-0513-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report 21P-0513-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report 21P-0513-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0514-1 DIC Eligibility Verification Report 21P-0514-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0514-1 DIC Eligibility Verification Report 21P-0514-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0514-1 DIC Eligibility Verification Report (Spanish) 21P-0514-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0514-1 DIC Eligibility Verification Report (Spanish) 21P-0514-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report (Vetera 21P-0516-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report (Vetera 21P-0516-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report (Vetera 21P-0516-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report (Vetera 21P-0516-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera 21P-0517-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera 21P-0517-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera 21P-0517-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera 21P-0517-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv 21P-0518-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv 21P-0518-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv 21P-0518-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv 21P-0518-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child 21P-0519C-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child 21P-0519C-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child 21P-0519C-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child 21P-0519C-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv 21P-0519S-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv 21P-0519S-1(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv 21P-0519S-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv 21P-0519S-1(Spanish)(3-1-21).pdf www.va.gov/vaforms Form
VA Form 21P-0510 Eligibility Verification Report 21P-0510(3-15-21).pdf www.va.gov/vaforms Form
VA Form 21P-0510 Eligibility Verification Report 21P-0510(3-15-21).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 3.277 38 CFR 3.256

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21P-0510 (Spanish)	Eligibility Verification Report (Spanish)	21P-0510(Spanish)(3-1-21).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(3-1-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519S-1 (Spanish)	Old Law Section 306 Eligibility Verification Report (Surviving Spouse) (Spanish)	VBA-21P-0519S-1(Spanish)(3-1-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0512V-1	Old Law and Section 306 Eligibility Verification Report (Veteran)	21P-0512V-1(3-1-21).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(3-1-21).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) (Spanish)	21P-0513-1(Spanish)(3-1-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0514-1	DIC Eligibility Verification Report	21P-0514-1(3-1-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0514-1 (Spanish)	DIC Eligibility Verification Report (Spanish)	21P-0514-1(Spanish)(3-1-21).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(3-1-21).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) (Spanish)	21P-0516-1(Spanish)(3-1-21).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(3-1-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0517-1 (Spanish)	Improved Pension Eligibility Verification Report (Veteran with Children) (Spanish)	21P-0517-1(Spanish)(3-1-21).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(3-1-21).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) (Spanish)	21P-0518-1(Spanish)(3-1-21).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(3-1-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519C-1 (Spanish)	Improved Pension Eligibility Verification Report (Child or Children) (Spanish)	21P-0519C-1(Spanish)(3-1-21).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(3-1-21).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)(3-1-21).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0510	Eligibility Verification Report	21P-0510(3-15-21).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: 86 FR 7268

Number of Respondents: 69,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	69,000	69,000
Annual IC Time Burden (Hours)	34,500	34,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.