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Eligibility Verification Reports
Eligibility Verification Reports (EVRs)
OMB: 2900-0101
IC ID: 28278
OMB.report
VA
OMB 2900-0101
ICR 202402-2900-016
IC 28278
( )
Documents and Forms
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:
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
69,000
0
0
0
0
69,000
Annual IC Time Burden (Hours)
34,500
0
0
0
0
34,500
Annual IC Cost Burden (Dollars)
0
0
0
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.