OMB control number

Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) (VA Form 21P-8924)

OMB 2900-0390 · VA.

OMB 2900-0390

Restored Entitlement Program for Survivors (REPS) is a benefit payable to certain surviving spouses and dependent children of deceased Veterans who died in service prior to August 13, 1981 or died as a result of a service-connected disability incurred or aggravated prior to August 13, 1981. Survivors of the deceased Veteran complete VA Form 21P-8924 to apply for REPS benefits; without the information provided on the form, determination of eligibility would not be possible.

The latest form for Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) (VA Form 21P-8924) expires 2027-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VA Form 21P-8924 Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) Form
60-Day FRN (published).pdf Supplementary Document
30-Day FRN (published).pdf Supplementary Document
2900-0390 Supporting Statement (21P-8924) (1).docx Supporting Statement A
Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) Form

All Historical Document Collections

202401-2900-009 Approved without change	Revision of a currently approved collection	2024-04-15
202102-2900-004 Approved with change	Reinstatement without change of a previously approved collection	2021-04-26
201708-2900-014 Approved without change	Reinstatement without change of a previously approved collection	2018-01-04
201408-2900-014 Approved without change	Revision of a currently approved collection	2014-10-03
201404-2900-001 Withdrawn and continue	Revision of a currently approved collection	2014-07-30
201309-2900-010 Withdrawn and continue	Revision of a currently approved collection	2013-09-19
201103-2900-003 Approved without change	Extension without change of a currently approved collection	2011-06-28
200712-2900-009 Approved without change	Extension without change of a currently approved collection	2008-04-03
200506-2900-008 Approved without change	Extension without change of a currently approved collection	2005-06-27
200205-2900-008 Approved without change	Extension without change of a currently approved collection	2002-05-15
199904-2900-012 Approved without change	Reinstatement without change of a previously approved collection	1999-04-12
199504-2900-005 Approved without change	Revision of a currently approved collection	1995-04-26
199202-2900-004 Approved without change	Revision of a currently approved collection	1992-02-10
198901-2900-002 Approved without change	Revision of a currently approved collection	1989-01-04
198511-2900-007 Approved without change	Revision of a currently approved collection	1985-11-25
198408-2900-007 Approved without change	Revision of a currently approved collection	1984-08-06
198310-2900-001 Approved without change	Revision of a currently approved collection	1983-10-18
198307-2900-001 Approved without change	New collection (Request for a new OMB Control Number)	1983-07-05