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

OMB 2900-0399

VA Forms 21P-8938 and 21P-8938-1 (formerly VA Forms 21-8938 and 21-8938-1) are used to verify that a surviving child who is receiving REPS benefits based on schoolchild status is eligible for continued benefits. Without this information benefits would not be properly paid and substantial overpayments would result.

The latest form for Student Beneficiary Report – Restored Entitlement Program for Survivors (REPS) (VA Form 21P-8938-1) expires 2021-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VAF 21P-8938-1 Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (VA Form 21-8938-1) Form
2021-19085, 30-Day FRN (VA Form 21-8938).pdf Supplementary Document
2900-0399, 60-Day FRN (VAF 21P-8938).pdf Supplementary Document
2900-0399, Supporting Statement (VAF 21P-8938-1).docx Supporting Statement A
Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (VA Form 21-8938-1) Form

All Historical Document Collections

202102-2900-006 Approved without change	Reinstatement with change of a previously approved collection	2021-09-20
201708-2900-015 Approved without change	Extension without change of a currently approved collection	2017-12-27
201404-2900-018 Approved without change	Revision of a currently approved collection	2014-09-25
201107-2900-006 Approved without change	Extension without change of a currently approved collection	2011-10-06
200805-2900-006 Approved without change	Extension without change of a currently approved collection	2008-08-28
200511-2900-009 Approved without change	Extension without change of a currently approved collection	2005-11-18
200210-2900-002 Approved without change	Extension without change of a currently approved collection	2002-10-29
200003-2900-004 Approved without change	Reinstatement with change of a previously approved collection	2000-03-06
199611-2900-001 Approved without change	Extension without change of a currently approved collection	1996-11-05
199311-2900-018 Approved without change	Extension without change of a currently approved collection	1993-11-08
199010-2900-009 Approved without change	Extension without change of a currently approved collection	1990-10-25
198711-2900-003 Approved without change	Reinstatement with change of a previously approved collection	1987-11-23
198608-2900-066 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-08-08
198406-2900-023 Approved without change	Revision of a currently approved collection	1984-06-20
198312-2900-001 Approved without change	New collection (Request for a new OMB Control Number)	1983-12-05