Marital Status Questionnaire

Marital Status Questionnaire (21P-0537)

Documents and Forms

Document Name Document Type
Form 21P-0537 Marital Status Questionnaire Form
21P-0537 Marital Status Questionnaire VA Form 21P-0537 (OMB Exp. 9-3-22).pdf vaww.va.gov/vaforms Form
21P-0537 Marital Status Questionnaire VA Form 21P-0537 (OMB Exp. 9-3-22).pdf vaww.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Marital Status Questionnaire	Agency IC Tracking Number:	2900-0495

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.652

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21P-0537	Marital Status Questionnaire	VA Form 21P-0537 (OMB Exp. 9-3-22).pdf	vaww.va.gov/vaforms	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: 84 FR 4138

Number of Respondents: 2,756	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	2,756	-15,052	17,808
Annual IC Time Burden (Hours)	230	-1,254	1,484
Annual IC Cost Burden (Dollars)	0	0	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.