OMB control number
Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) (VA Form 21P-8924)
OMB 2900-0390 ยท VA.
OMB 2900-0390
Restored Entitlement Program for Survivors (REPS) is a benefit payable to certain surviving spouses and dependent children of deceased Veterans who died in service prior to August 13, 1981 or died as a result of a service-connected disability incurred or aggravated prior to August 13, 1981. Survivors of the deceased Veteran complete VA Form 21P-8924 to apply for REPS benefits; without the information provided on the form, determination of eligibility would not be possible.
The latest form for Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) (VA Form 21P-8924) expires 2027-05-31 and is listed under ICR 202401-2900-009.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA Form 21P-8924 Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) | Form |
| 60-Day FRN (published).pdf | Supplementary Document |
 30-Day FRN (published).pdf | Supplementary Document |
| 2900-0390 Supporting Statement (21P-8924) (1).docx | Supporting Statement A |
 Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) |
Form |