OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application Request to Add and/or Remove Dependents (VA Form 21-686c)

OMB 2900-0043 ยท VA.

OMB 2900-0043

VA Form 21-686c is used to gather the necessary information to determine eligibility for additional benefits for dependents. Without this information, entitlement to these benefits could not be determined.

The latest form for Application Request to Add and/or Remove Dependents (VA Form 21-686c) expires 2028-08-31 and is listed under ICR 202504-2900-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form VA Form 21-686c Application Request to Add and/or Remove DependentsForm
30-DAY FRN (published)-2900-0043.pdfSupplementary Document
2025-08289, 60-day FRN (2900-0043, VAF21-686c).pdfSupplementary Document
2900-0043, Supporting Statement (VAF21-686c) 2.docxSupporting Statement A
2900-0043, Supporting Statement (VAF21-686c) 2.docxSupporting Statement A
Application Request to Add and/or Remove Dependents (VA Form 21-686c) Form
Application Request to Add and/or Remove Dependents (VA Form 21-686c) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202504-2900-004 Revision of a currently approved collection 2025-07-18
202111-2900-008 Reinstatement with change of a previously approved collection 2022-07-26 Approved without change
201808-2900-002 Revision of a currently approved collection 2018-08-01 Approved without change
201610-2900-006 Extension without change of a currently approved collection 2017-03-30 Approved without change
201406-2900-042 No material or nonsubstantive change to a currently approved collection 2014-06-19 Approved with change
201301-2900-004 Revision of a currently approved collection 2013-11-05 Approved with change
201009-2900-019 Extension without change of a currently approved collection 2010-12-23 Approved without change
200707-2900-013 Extension without change of a currently approved collection 2007-11-13 Approved without change
200408-2900-003 Extension without change of a currently approved collection 2004-08-19 Approved without change
200202-2900-008 Extension without change of a currently approved collection 2002-02-11 Approved without change
200201-2900-022 Extension without change of a currently approved collection 2002-01-18 Withdrawn and continue
199812-2900-003 Reinstatement without change of a previously approved collection 1998-12-01 Approved without change
199502-2900-008 Extension without change of a currently approved collection 1995-02-24 Approved without change
199201-2900-003 Revision of a currently approved collection 1992-01-31 Approved without change
198904-2900-001 Reinstatement with change of a previously approved collection 1989-04-04 Approved without change
198601-2900-009 Extension without change of a currently approved collection 1986-01-22 Approved without change
198302-2900-012 Revision of a currently approved collection 1983-02-24 Approved without change
198209-2900-013 No material or nonsubstantive change to a currently approved collection 1982-09-07 Approved with change
198011-2900-029 No material or nonsubstantive change to a currently approved collection 1980-11-06 Approved with change
197808-2900-001 Revision of a currently approved collection 1978-08-09 Approved without change
197510-2900-003 Revision of a currently approved collection 1975-10-03 Approved without change