Information Collection

Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors)

IC 28601 under ICR 202401-2900-009 · OMB 2900-0390.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 21P-8924 Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors)	Form
VA Form 21P-8924 Application of Surviving Spouse or Child for REPS (Resto VBA-21P-8924-ARE.pdf www.va.gov/vaforms	Form
VA Form 21P-8924 Application of Surviving Spouse or Child for REPS (Resto VBA-21P-8924-ARE.pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

2900-0390

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	VA Form 21P-8924	Application of Surviving Spouse or Child for REPS (Restored Entitlement for Survivors)	VBA-21P-8924-ARE.pdf	www.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: 44

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	44	-1,756	1,800
Annual IC Time Burden (Hours)	14	-586	600
Annual IC Cost Burden (Dollars)	350	-13,966	14,316

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.