Information Collection

Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors)

IC 28601 under ICR 201309-2900-010 · OMB 2900-0390.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0390 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 21-8924 Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) Form
VA Form 21-8924 Application of Surviving Spouse or Child for REPS Benefi 21-8924-ARE.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors)	Agency IC Tracking Number:	2900-0390 VBA-COMP-NK

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.812

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21-8924	Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors)	21-8924-ARE.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.