OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Statement of Disappearance (VA Form 21P-1775)

OMB 2900-0036 · VA.

OMB 2900-0036

Since no state law providing presumption of death is applicable to VA benefits, VA Form 21P-1775 is needed to gather sufficient information from a claimant so a formal decision can be made regarding the unexplained absence of an individual for over 7 years.

The latest form for Statement of Disappearance (VA Form 21P-1775) expires 2028-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form
Supplementary Document
Supporting Statement A
All Historical Document Collections
 Extension without change of a currently approved collection 2025-08-26
Approved without change
 Extension without change of a currently approved collection 2022-07-11
Approved with change
 Extension without change of a currently approved collection 2019-07-02
Approved without change
 Extension without change of a currently approved collection 2016-08-03
Approved without change
 No material or nonsubstantive change to a currently approved collection 2016-03-17
Approved without change
 Extension without change of a currently approved collection 2013-09-19
Approved without change
 Extension without change of a currently approved collection 2011-01-03
Approved without change
 Extension without change of a currently approved collection 2007-12-06
Approved without change
 Extension without change of a currently approved collection 2004-11-05
Approved without change
 Extension without change of a currently approved collection 2002-01-18
Approved without change
 Reinstatement without change of a previously approved collection 1998-11-23
Withdrawn and continue
 Extension without change of a currently approved collection 1995-08-28
Approved without change
 Extension without change of a currently approved collection 1993-10-04
Approved without change
 Extension without change of a currently approved collection 1990-10-30
Approved without change
 Extension without change of a currently approved collection 1987-11-23
Approved without change
 Reinstatement with change of a previously approved collection 1984-10-19
Disapproved
 Reinstatement without change of a previously approved collection 1984-05-22
Approved without change
 Extension without change of a currently approved collection 1983-11-25
Approved without change
 Revision of a currently approved collection 1980-12-08
Approved without change
 Revision of a currently approved collection 1976-01-14