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Federal forms, ICRs, and supporting documents

OMB control number

Marital Status Questionnaire (VA Form 21P-0537)

OMB 2900-0495 · VA.

OMB 2900-0495

VA Form 21P-0537 is used to verify a surviving spouse’s current marital status to verify his or her continuing entitlement to DIC benefits. The form letter is automatically generated and mailed to DIC beneficiaries. Agency action depends on the information provided by the beneficiary. If the information provided supports the beneficiary’s continued entitlement to benefits, no action is taken. If the information provided by the beneficiary does not support continued entitlement to benefits, VA will take action to terminate benefit payments, based on the facts found.

The latest form for Marital Status Questionnaire (VA Form 21P-0537) expires 2028-12-31 and is listed under ICR 202502-2900-009.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 21P-0537 Marital Status QuestionnaireForm
Form 21P-0537 Marital Status QuestionnaireForm
30-Day (published) 2900-0495.pdfSupplementary Document
60-DAY (published) 2900-0495.pdfSupplementary Document
2900-0495 (21P-0537) - Supporting Statement 8-28-25.docxSupporting Statement A
2900-0495 (21P-0537) - Supporting Statement 8-28-25.docxSupporting Statement A
Marital Status Questionnaire Form
Marital Status Questionnaire Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202502-2900-009 Extension without change of a currently approved collection 2025-08-28
202203-2900-017 Revision of a currently approved collection 2022-06-07 Approved with change
201901-2900-007 Extension without change of a currently approved collection 2019-05-30 Approved with change
201602-2900-003 Revision of a currently approved collection 2016-06-09 Approved with change
201406-2900-022 No material or nonsubstantive change to a currently approved collection 2014-06-19 Approved without change
201303-2900-013 Revision of a currently approved collection 2013-08-29 Approved without change
201002-2900-012 Extension without change of a currently approved collection 2010-06-10 Approved without change
200706-2900-037 Extension without change of a currently approved collection 2007-07-02 Approved without change
200406-2900-002 Extension without change of a currently approved collection 2004-06-15 Approved without change
200107-2900-016 Reinstatement without change of a previously approved collection 2001-07-25 Approved without change
199801-2900-005 Reinstatement without change of a previously approved collection 1998-01-29 Approved without change
199406-2900-001 Extension without change of a currently approved collection 1994-06-30 Approved without change
199105-2900-001 Revision of a currently approved collection 1991-05-02 Approved without change
198807-2900-003 New collection (Request for a new OMB Control Number) 1988-07-08 Approved without change