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Federal forms, ICRs, and supporting documents

OMB control number

Application Request to Add and/or Remove Dependents (VA Form 21-686c)

OMB 2900-0043 · VA.

OMB 2900-0043

VA Form 21-686c is used to gather the necessary information to determine eligibility for additional benefits for dependents. Without this information, entitlement to these benefits could not be determined.

The latest form for Application Request to Add and/or Remove Dependents (VA Form 21-686c) expires 2028-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form
Supplementary Document
Supplementary Document
Supporting Statement A
All Historical Document Collections
 Revision of a currently approved collection 2025-07-18
Approved without change
 Reinstatement with change of a previously approved collection 2022-07-26
Approved without change
 Revision of a currently approved collection 2018-08-01
Approved without change
 Extension without change of a currently approved collection 2017-03-30
Approved with change
 No material or nonsubstantive change to a currently approved collection 2014-06-19
Approved with change
 Revision of a currently approved collection 2013-11-05
Approved without change
 Extension without change of a currently approved collection 2010-12-23
Approved without change
 Extension without change of a currently approved collection 2007-11-13
Approved without change
 Extension without change of a currently approved collection 2004-08-19
Approved without change
 Extension without change of a currently approved collection 2002-02-11
Withdrawn and continue
 Extension without change of a currently approved collection 2002-01-18
Approved without change
 Reinstatement without change of a previously approved collection 1998-12-01
Approved without change
 Extension without change of a currently approved collection 1995-02-24
Approved without change
 Revision of a currently approved collection 1992-01-31
Approved without change
 Reinstatement with change of a previously approved collection 1989-04-04
Approved without change
 Extension without change of a currently approved collection 1986-01-22
Approved without change
 Revision of a currently approved collection 1983-02-24
Approved with change
 No material or nonsubstantive change to a currently approved collection 1982-09-07
Approved with change
 No material or nonsubstantive change to a currently approved collection 1980-11-06
Approved without change
 Revision of a currently approved collection 1978-08-09
Approved without change
 Revision of a currently approved collection 1975-10-03