Information Collection

Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (VA Form 21-8938-1)

IC 28614 under ICR 202405-2900-001 · OMB 2900-0399.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 21P-8938-1 Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (VA Form 21-8938-1)	Form
21P-8938-1 Student Beneficiary Report - REPS (Restored Entitlement VA Form 21P-8938-1 (508 Conformant 6-17-24).pdf www.va.gov/vaforms	Form
21P-8938-1 Student Beneficiary Report - REPS (Restored Entitlement VA Form 21P-8938-1 (508 Conformant 6-17-24).pdf www.va.gov/vaforms	Form

IC Title:

Agency IC Tracking Number:

2900-0399

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	21P-8938-1	Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors)	VA Form 21P-8938-1 (508 Conformant 6-17-24).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: 89 FR 40539

Number of Respondents: 1,200

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	1,200	1,200
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

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.