OMB control number
Application for Benefits for a Qualifying Veteran's Child Born with Disabilities (VA Form 21-0304)
OMB 2900-0572 ยท VA.
OMB 2900-0572
VA Form 21-0304 is used to determine the monetary allowance for a child born with Spina Bifida or certain birth defects who is the natural child of a Vietnam and certain Thailand or Korea service veterans. Without this information, VA would be unable to effectively administer 38 U.S.C. 1805, 1815, 1821, and 1822.
The latest form for Application for Benefits for a Qualifying Veteran's Child Born with Disabilities (VA Form 21-0304) expires 2029-05-31 and is listed under ICR 202512-2900-009.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 21-0304 Application for Benefits for a Qualifying Veteran's Child Born with Disabilities | Form |
 Comment-Response2, VAF21-0304 (2900-0572).docx | Supplementary Document |
| VA-2025-VACO-0001-0153.pdf | Public Comments |
| Comment-Response1, VAF21-0304 (2900-0572).docx | Supplementary Document |
| VA-2025-VACO-0001-0146.pdf | Public Comments |
| 2026-04818, 30-Day FRN (2900-0572, VAF21-0304).pdf | Supplementary Document |
| 2025-23997, 60-Day FRN (VAF21-0304, 2900-0572).pdf | Supplementary Document |
| 2900-0572, Supporting Statement (VAF21-0304) 1.docx | Supporting Statement A |
 Application for Benefits for a Qualifying Veteran's Child Born with Disabilities (VA Form 21-0304) |
Form |
| Application for Benefits for a Qualifying Veteran's Child Born with Disabilities (VA Form 21-0304) |
Form |