OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Statement of Disappearance (VA Form 21P-1775)

OMB 2900-0036 ยท VA.

OMB 2900-0036

Since no state law providing presumption of death is applicable to VA benefits, VA Form 21P-1775 is needed to gather sufficient information from a claimant so a formal decision can be made regarding the unexplained absence of an individual for over 7 years.

The latest form for Statement of Disappearance (VA Form 21P-1775) expires 2028-12-31 and is listed under ICR 202502-2900-007.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form VA Form 22-1775 Statement of DisappearanceForm
Form VA Form 22-1775 Statement of DisappearanceForm
30-DAY (published) 2900-0036.pdfSupplementary Document
30-DAY (published) 2900-0036.pdf Supplementary Document
2900-0036 (21P-1775) - Supporting Statement 3.docxSupporting Statement A
2900-0036 (21P-1775) - Supporting Statement 3.docxSupporting Statement A
Statement of Disappearance Form
Statement of Disappearance Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202502-2900-007 Extension without change of a currently approved collection 2025-08-26
202204-2900-014 Extension without change of a currently approved collection 2022-07-11 Approved without change
201902-2900-002 Extension without change of a currently approved collection 2019-07-02 Approved with change
201604-2900-005 Extension without change of a currently approved collection 2016-08-03 Approved without change
201602-2900-043 No material or nonsubstantive change to a currently approved collection 2016-03-17 Approved without change
201305-2900-013 Extension without change of a currently approved collection 2013-09-19 Approved without change
201009-2900-018 Extension without change of a currently approved collection 2011-01-03 Approved without change
200708-2900-024 Extension without change of a currently approved collection 2007-12-06 Approved without change
200411-2900-003 Extension without change of a currently approved collection 2004-11-05 Approved without change
200201-2900-005 Extension without change of a currently approved collection 2002-01-18 Approved without change
199811-2900-016 Reinstatement without change of a previously approved collection 1998-11-23 Approved without change
199508-2900-028 Extension without change of a currently approved collection 1995-08-28 Withdrawn and continue
199310-2900-004 Extension without change of a currently approved collection 1993-10-04 Approved without change
199010-2900-010 Extension without change of a currently approved collection 1990-10-30 Approved without change
198711-2900-010 Extension without change of a currently approved collection 1987-11-23 Approved without change
198410-2900-019 Reinstatement with change of a previously approved collection 1984-10-19 Approved without change
198405-2900-012 Reinstatement without change of a previously approved collection 1984-05-22 Disapproved
198311-2900-009 Extension without change of a currently approved collection 1983-11-25 Approved without change
198012-2900-004 Revision of a currently approved collection 1980-12-08 Approved without change
197601-2900-003 Revision of a currently approved collection 1976-01-14 Approved without change