Eligibility Verification Reports (EVRs)

OMB 2900-0101

The EVR forms are used to determine and verify entitlement to income-based VA benefits. The forms are tailored for the specific classes of beneficiaries of each benefit program and request information about income, net worth, dependency status and other entitlement factors. Without this information, VA would be unable to properly pay benefits.

The latest form for Eligibility Verification Reports (EVRs) expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VA Form 21P-0510 ( Eligibility Verification Reports Form
2021-12539.pdf Supplementary Document
SupportStatement(2900-0101).docx Supporting Statement A
2021-07268.pdf Supplementary Document
Eligibility Verification Reports Form

All Historical Document Collections

202102-2900-010 Approved without change	Extension without change of a currently approved collection	2021-06-16
201708-2900-012 Approved with change	Revision of a currently approved collection	2018-05-01
201404-2900-008 Approved without change	Revision of a currently approved collection	2015-01-23
201104-2900-029 Approved without change	Extension without change of a currently approved collection	2011-07-27
200803-2900-012 Approved without change	Extension without change of a currently approved collection	2008-06-24
200505-2900-003 Approved without change	Revision of a currently approved collection	2005-05-02
200203-2900-007 Approved without change	Extension without change of a currently approved collection	2002-03-15
199912-2900-010 Approved without change	Extension without change of a currently approved collection	1999-12-30
199709-2900-007 Approved without change	Extension without change of a currently approved collection	1997-09-26
199606-2900-010 Approved without change	Reinstatement without change of a previously approved collection	1996-06-28
199207-2900-011 Approved without change	Revision of a currently approved collection	1992-07-13
199109-2900-001 Approved without change	Revision of a currently approved collection	1991-09-05
198904-2900-010 Approved without change	Revision of a currently approved collection	1989-04-04
198706-2900-001 Approved without change	Reinstatement with change of a previously approved collection	1987-06-30
198604-2900-012 Approved without change	Revision of a currently approved collection	1986-04-21
198507-2900-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-07-16
198504-2900-009 Approved without change	Revision of a currently approved collection	1985-04-04
198404-2900-001 Approved without change	Revision of a currently approved collection	1984-04-02
198308-2900-013 Approved with change	No material or nonsubstantive change to a currently approved collection	1983-08-08
198302-2900-010 Approved without change	Revision of a currently approved collection	1983-02-15
198107-2900-020 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-07-17
198011-2900-098 Approved with change	No material or nonsubstantive change to a currently approved collection	1980-11-06
198006-2900-020 Approved without change	Revision of a currently approved collection	1980-06-19
197906-2900-003 Approved without change	Revision of a currently approved collection	1979-06-28
197606-2900-022 Approved without change	Revision of a currently approved collection	1976-06-16
197507-2900-004 Approved without change	Revision of a currently approved collection	1975-07-08