Information Collection

Eligibility Verification Reports

IC 28278 under ICR 202402-2900-016 · OMB 2900-0101.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21P-0510 (Spanish) Eligibility Verification Reports	Form
21P-0510 (Spanish) Instrucciones Para El Reporte De Verificacion De Elegibi VA Form 21P-0510 (Spanish) (508 Conformant 4-9-24).pdf www.va.gov/vaforms	Form
21P-0510 (Spanish) Instrucciones Para El Reporte De Verificacion De Elegibi VA Form 21P-0510 (Spanish) (508 Conformant 4-9-24).pdf www.va.gov/vaforms	Form
21P-0512s-1 Old Law and Section 306 Eligibility Verification Report VA Form 21P-0512S-1 (508 Conformant 3-7-24).pdf www.va.gov/vaforms	Form
21P-0512s-1 Old Law and Section 306 Eligibility Verification Report VA Form 21P-0512S-1 (508 Conformant 3-7-24).pdf www.va.gov/vaforms	Form
21P-0512s-1 (Spani Solicitud De Verificacion De Elegibilidad Pension VA Form 21P-0512s-1 (Spanish) (OMB Exp. 7-31-24).pdf www.va.gov/vaforms	Form
21P-0512s-1 (Spani Solicitud De Verificacion De Elegibilidad Pension VA Form 21P-0512s-1 (Spanish) (OMB Exp. 7-31-24).pdf www.va.gov/vaforms	Form
21P-0512v-1 Old Law and Section 306 Eligibility Verification Report VA Form 21P-0512V-1 (508 Conformant 6-20-23).pdf www.va.gov/vaforms	Form
21P-0512v-1 Old Law and Section 306 Eligibility Verification Report VA Form 21P-0512V-1 (508 Conformant 6-20-23).pdf www.va.gov/vaforms	Form
21-0513-1 Old Law and Section 306 Eligibility Verification Report VA Form 21P-0513-1 (508 Conformant 3-8-24).pdf www.va.gov/vaforms	Form
21-0513-1 Old Law and Section 306 Eligibility Verification Report VA Form 21P-0513-1 (508 Conformant 3-8-24).pdf www.va.gov/vaforms	Form
21P-0513-1 (Spanis Reporte De Verificacion Bajo La Vieja Ley Y Seccion 306 VA Form 21P-0513-1 (Spanish) (508 Conformant 3-7-24).pdf www.va.gov/vaforms	Form
21P-0513-1 (Spanis Reporte De Verificacion Bajo La Vieja Ley Y Seccion 306 VA Form 21P-0513-1 (Spanish) (508 Conformant 3-7-24).pdf www.va.gov/vaforms	Form
21P-0514-1 DIC Parent's Eligibility Verification Report VA Form 21P-0514-1 (508 Conformant - 7-10-23).pdf www.va.gov/vaforms	Form
21P-0514-1 DIC Parent's Eligibility Verification Report VA Form 21P-0514-1 (508 Conformant - 7-10-23).pdf www.va.gov/vaforms	Form
21P-0514-1 (Spanis Reporte De Verificacion De Elegibilidad Para Padres - DI VA Form 21P-0514-1 (Spanish) (508 Conformant 3-7-24).pdf www.va.gov/vaforms	Form
21P-0514-1 (Spanis Reporte De Verificacion De Elegibilidad Para Padres - DI VA Form 21P-0514-1 (Spanish) (508 Conformant 3-7-24).pdf www.va.gov/vaforms	Form
21P-0516-1 Improved Pension Eligibility Verification Report (Vetera VA Form 21P-0516-1 (508 Conformant 3-12-24).pdf www.va.gov/vaforms	Form
21P-0516-1 Improved Pension Eligibility Verification Report (Vetera VA Form 21P-0516-1 (508 Conformant 3-12-24).pdf www.va.gov/vaforms	Form
21P-0516-1 (Spanis Reporte Verificacion De Elegibilidad Para Pension Mejora VA Form 21P-0516-1 (Spanish) (508 Conformant 3-15-24).pdf www.va.gov/vaforms	Form
21P-0516-1 (Spanis Reporte Verificacion De Elegibilidad Para Pension Mejora VA Form 21P-0516-1 (Spanish) (508 Conformant 3-15-24).pdf www.va.gov/vaforms	Form
21P-0517-1 Improved Pension Eligibility Verification Report (Vetera VA Form 21P-0517-1 (OMB Exp. 7-31-24).pdf www.va.gov/vaforms	Form
21P-0517-1 Improved Pension Eligibility Verification Report (Vetera VA Form 21P-0517-1 (OMB Exp. 7-31-24).pdf www.va.gov/vaforms	Form
21P-0517-1 (Spanis Reporte De Verificacion De Elegibilidad Para Pension Mej VA Form 21P-0517-1 (Spanish) (508 Conformant 3-7-24).pdf www.va.gov/vaforms	Form
21P-0517-1 (Spanis Reporte De Verificacion De Elegibilidad Para Pension Mej VA Form 21P-0517-1 (Spanish) (508 Conformant 3-7-24).pdf www.va.gov/vaforms	Form
21P-0518-1 Improved Pension Eligibility Verification Report (Surviv VA Form 21P-0518-1 (508 Conformant 3-11-24).pdf www.va.gov/vaforms	Form
21P-0518-1 Improved Pension Eligibility Verification Report (Surviv VA Form 21P-0518-1 (508 Conformant 3-11-24).pdf www.va.gov/vaforms	Form
21P-0518-1 (Spanis Reporte De Verificacion De Elegibilidad Para Pension Mej VA Form 21P-0518-1 (Spanish) (508 Conformant 3-11-24).pdf www.va.gov/vaforms	Form
21P-0518-1 (Spanis Reporte De Verificacion De Elegibilidad Para Pension Mej VA Form 21P-0518-1 (Spanish) (508 Conformant 3-11-24).pdf www.va.gov/vaforms	Form
21P-0519c-1 Improved Pension Eligibility Verification Report (Child VA Form 21P-0519c-1 (508 Conformant 7-10-23).pdf www.va.gov/vaforms	Form
21P-0519c-1 Improved Pension Eligibility Verification Report (Child VA Form 21P-0519c-1 (508 Conformant 7-10-23).pdf www.va.gov/vaforms	Form
21P-0519c-1 (Spani Reporte De Verificacion De Elegibilidad Para Pension Mej VA Form 21P-0519C-1 (Spanish) (508 Conformant 3-12-24).pdf www.va.gov/vaforms	Form
21P-0519c-1 (Spani Reporte De Verificacion De Elegibilidad Para Pension Mej VA Form 21P-0519C-1 (Spanish) (508 Conformant 3-12-24).pdf www.va.gov/vaforms	Form
21P-0519s-1 Improved Pension Eligibility Verification Report (Surviv VA Form 21P-0519s-1 (OMB Exp. 7-31-24).pdf www.va.gov/vaforms	Form
21P-0519s-1 Improved Pension Eligibility Verification Report (Surviv VA Form 21P-0519s-1 (OMB Exp. 7-31-24).pdf www.va.gov/vaforms	Form
21P-0519s-1 (Spani Departamento de Asuntos de Veteranos Reporte De Verifica VA Form 21P-0519S-1 (Spanish) (508 Conformant 3-11-24).pdf www.va.gov/vaforms	Form
21P-0519s-1 (Spani Departamento de Asuntos de Veteranos Reporte De Verifica VA Form 21P-0519S-1 (Spanish) (508 Conformant 3-11-24).pdf www.va.gov/vaforms	Form
21P-0510 Eligibility Verification Reports Instructions VA Form 21P-0510 - New Burden Statement (508 Conformant 3-15-24) 3-28-24.pdf www.va.gov/vaforms	Form
21P-0510 Eligibility Verification Reports Instructions VA Form 21P-0510 - New Burden Statement (508 Conformant 3-15-24) 3-28-24.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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	21P-0510 (Spanish)	Instrucciones Para El Reporte De Verificacion De Elegibilidad	VA Form 21P-0510 (Spanish) (508 Conformant 4-9-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0512s-1	Old Law and Section 306 Eligibility Verification Report (Surviving Spouse)	VA Form 21P-0512S-1 (508 Conformant 3-7-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0512s-1 (Spanish)	Solicitud De Verificacion De Elegibilidad Pension	VA Form 21P-0512s-1 (Spanish) (OMB Exp. 7-31-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0512v-1	Old Law and Section 306 Eligibility Verification Report (Veteran)	VA Form 21P-0512V-1 (508 Conformant 6-20-23).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21-0513-1	Old Law and Section 306 Eligibility Verification Report (Children Only)	VA Form 21P-0513-1 (508 Conformant 3-8-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0513-1 (Spanish)	Reporte De Verificacion Bajo La Vieja Ley Y Seccion 306 (Hijos Unicamente)	VA Form 21P-0513-1 (Spanish) (508 Conformant 3-7-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0514-1	DIC Parent's Eligibility Verification Report	VA Form 21P-0514-1 (508 Conformant - 7-10-23).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0514-1 (Spanish)	Reporte De Verificacion De Elegibilidad Para Padres - DIC	VA Form 21P-0514-1 (Spanish) (508 Conformant 3-7-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0516-1	Improved Pension Eligibility Verification Report (Veteran With No Children)	VA Form 21P-0516-1 (508 Conformant 3-12-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0516-1 (Spanish)	Reporte Verificacion De Elegibilidad Para Pension Mejorada (Veterano Sin Hijos)	VA Form 21P-0516-1 (Spanish) (508 Conformant 3-15-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0517-1	Improved Pension Eligibility Verification Report (Veteran With Children)	VA Form 21P-0517-1 (OMB Exp. 7-31-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0517-1 (Spanish)	Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Veterano Con Hijos)	VA Form 21P-0517-1 (Spanish) (508 Conformant 3-7-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0518-1	Improved Pension Eligibility Verification Report (Surviving Spouse With No Children)	VA Form 21P-0518-1 (508 Conformant 3-11-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0518-1 (Spanish)	Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Conyuge Sobreviviente Sin Hijos)	VA Form 21P-0518-1 (Spanish) (508 Conformant 3-11-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0519c-1	Improved Pension Eligibility Verification Report (Child or Children)	VA Form 21P-0519c-1 (508 Conformant 7-10-23).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0519c-1 (Spanish)	Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Hijo o Hijos)	VA Form 21P-0519C-1 (Spanish) (508 Conformant 3-12-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0519s-1	Improved Pension Eligibility Verification Report (Surviving Spouse With Children)	VA Form 21P-0519s-1 (OMB Exp. 7-31-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0519s-1 (Spanish)	Departamento de Asuntos de Veteranos Reporte De Verificacion De Elegibilidad Para Pension Mejorada (Conyuge Sobreviviente con Hijos)	VA Form 21P-0519S-1 (Spanish) (508 Conformant 3-11-24).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	21P-0510	Eligibility Verification Reports Instructions	VA Form 21P-0510 - New Burden Statement (508 Conformant 3-15-24) 3-28-24.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: 84 FR 4138

Number of Respondents: 69,000

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	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

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.