OMB control number
Lay/Witness Statement (VA Form 21-10210)
OMB 2900-0881 ยท VA.
OMB 2900-0881
VA Form 21-10210 is used by the claimant to gather lay or witness statements that support an existing claim for benefits/services. Without this information, VA may not be able to efficiently and successfully process claims that may require additional statements associated with a claim for benefits/services.
The latest form for Lay/Witness Statement (VA Form 21-10210) expires 2027-07-31 and is listed under ICR 202403-2900-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 21-10210 Lay/Witness Statement (VA Form 21-10210) | Form and Instruction |
| 30-Day FRN (published).pdf | Supplementary Document |
| 2024-06021, 60-Day FRN (2900-0881).pdf | Supplementary Document |
| 2900-0881, Supporting Statement (VAF21-10210) km.docx (document unavailable) | Supporting Statement A |
 Lay/Witness Statement (VA Form 21-10210) |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202403-2900-003 | Revision of a currently approved collection | 2024-05-30 | Approved without change | |
| 202009-2900-002 | Reinstatement without change of a previously approved collection | 2021-03-11 | Approved without change | |
| 202007-2900-007 | New collection (Request for a new OMB Control Number) | 2020-07-27 | Approved without change |