Information Collection Request
Application for Benefits for a Qualifying Veteran's Child Born with Disabilities (VA Form 21-0304)
ICR 202211-2900-007 · OMB 2900-0572 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 2900-0572 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 21-0304 Application for Benefits for a Qualifying Veteran's Child Born with Disabilities (VA Form 21-0304) |
Form | Modified | Repair queued |
 2023-02931, 30-Day FRN (VAF21-0304).pdf |
Supplementary Document | Uploaded 2023-02-13 | Repair queued |
| 2022-26060, 60-Day FRN (VAF21-0304).pdf |
Supplementary Document | Uploaded 2023-02-07 | Repair queued |
 2900-0572, Supporting Statement (VAF21-0304).docx |
Supporting Statement A | Uploaded 2023-02-07 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 28777 |  Application for Benefits for a Qualifying Veteran's Child Born with Disabilities (VA Form 21-0304) |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0572 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201903-2900-011 |
| Agency Tracking No | VBA-COMP-YA |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |