OMB control number
Residency Verification Report-Veterans and Survivors (Form Letter 21-914)
OMB 2900-0655 ยท VA.
OMB 2900-0655
Form Letter 21-914 gathers the information necessary to verify that a Filipino veteran or beneficiary who is receiving benefits at the full-dollar rate based on U.S. residency continues to meet the residency requirements. The proper rate of payment could not be determined without this information.
The latest form for Residency Verification Report-Veterans and Survivors (Form Letter 21-914) expires 2027-01-31 and is listed under ICR 202309-2900-008.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA FL 21-914 Residency Verification Report-Veterans and Survivors (FL21-914) | Form |
| 2023-26548, 30-Day FRN (2900-0655).pdf | Supplementary Document |
| 2023-21522, 60-Day FRN (2900-0655).pdf | Supplementary Document |
 2900-0655, Supporting Statement (FL21-914).docx | Supporting Statement A |
 Residency Verification Report-Veterans and Survivors (FL21-914) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202309-2900-008 | Revision of a currently approved collection | 2023-12-06 | Approved without change | |
| 202006-2900-005 | Reinstatement without change of a previously approved collection | 2020-12-17 | ||
| 201610-2900-004 | Extension without change of a currently approved collection | 2017-03-30 | Approved without change | |
| 201307-2900-017 | Revision of a currently approved collection | 2014-03-24 | Approved with change | |
| 201010-2900-001 | Extension without change of a currently approved collection | 2011-01-03 | Approved without change | |
| 200712-2900-013 | Extension without change of a currently approved collection | 2007-12-17 | Approved without change | |
| 200410-2900-004 | New collection (Request for a new OMB Control Number) | 2004-10-22 | Approved without change |