OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

REPS Annual Eligibility Report (VA Form 21P-8941)

OMB 2900-0405 ยท VA.

OMB 2900-0405

Restored Entitlement Program for Survivors (REPS), under the Provisions of Section 156 Public Law 97-377, 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. VA Form 21P-8941 is completed annually by claimants who have earned income that is at or near the limit for allowable earned income. Without the information provided on the form, determination of continued eligibility would not be possible.

The latest form for REPS Annual Eligibility Report (VA Form 21P-8941) expires 2027-04-30 and is listed under ICR 202401-2900-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form VA Form 21P-8941 REPS Annual Eligibility Report (Under the Provisions of Section 156, Public Law 97-377) (21-8941)Form
60-Day FRN - 2900-0405 (2024).pdf Supplementary Document
30-Day FRN - 2900-0405 (2024).pdf Supplementary Document
2900-0405 Supporting Statement (21P-8941).docxSupporting Statement A
REPS Annual Eligibility Report (Under the Provisions of Section 156, Public Law 97-377) (21-8941) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202401-2900-002 Extension without change of a currently approved collection 2024-03-21 Approved with change
202102-2900-008 Reinstatement without change of a previously approved collection 2021-04-23 Approved without change
201708-2900-016 Extension without change of a currently approved collection 2017-12-27 Approved without change
201404-2900-019 Revision of a currently approved collection 2014-09-25 Approved without change
201104-2900-026 Extension without change of a currently approved collection 2011-08-25 Approved without change
200804-2900-018 Extension without change of a currently approved collection 2008-07-18 Approved without change
200507-2900-001 Extension without change of a currently approved collection 2005-07-01 Approved without change
200205-2900-003 Extension without change of a currently approved collection 2002-05-08 Approved without change
199907-2900-010 Reinstatement without change of a previously approved collection 1999-07-22 Approved without change
199508-2900-044 Extension without change of a currently approved collection 1995-08-28 Approved without change
199212-2900-003 Revision of a currently approved collection 1992-12-02 Approved without change
198910-2900-003 Reinstatement with change of a previously approved collection 1989-10-13 Approved without change
198904-2900-024 No material or nonsubstantive change to a currently approved collection 1989-04-06 Approved with change
198709-2900-033 Reinstatement with change of a previously approved collection 1987-09-17 Approved without change
198408-2900-027 Revision of a currently approved collection 1984-08-23 Approved without change
198312-2900-023 New collection (Request for a new OMB Control Number) 1983-12-28 Approved without change