OMB control number

Student Beneficiary Report – Restored Entitlement Program for Survivors (REPS) (VA Form 21P-8938-1)

OMB 2900-0399 · VA.

OMB 2900-0399

VA Form 21P-8938-1 is used to verify that a surviving child who is receiving REPS benefits based on schoolchild status is eligible for continued benefits. Without this information benefits would not be properly paid and substantial overpayments would result.

The latest form for Student Beneficiary Report – Restored Entitlement Program for Survivors (REPS) (VA Form 21P-8938-1) expires 2027-08-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 21P-8938-1 Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (VA Form 21-8938-1) Form
30-Day FRN - 2900-0399 (2024).pdf Supplementary Document
2900-0399 Supporting Statement (8938-1).docx Supporting Statement A
60-Day FRN (published).pdf Supplementary Document
Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (VA Form 21-8938-1) Form

All Historical Document Collections

202405-2900-001 Approved without change	Extension without change of a currently approved collection	2024-07-17
202102-2900-006 Approved without change	Reinstatement with change of a previously approved collection	2021-09-20
201708-2900-015 Approved without change	Extension without change of a currently approved collection	2017-12-27
201404-2900-018 Approved without change	Revision of a currently approved collection	2014-09-25
201107-2900-006 Approved without change	Extension without change of a currently approved collection	2011-10-06
200805-2900-006 Approved without change	Extension without change of a currently approved collection	2008-08-28
200511-2900-009 Approved without change	Extension without change of a currently approved collection	2005-11-18
200210-2900-002 Approved without change	Extension without change of a currently approved collection	2002-10-29
200003-2900-004 Approved without change	Reinstatement with change of a previously approved collection	2000-03-06
199611-2900-001 Approved without change	Extension without change of a currently approved collection	1996-11-05
199311-2900-018 Approved without change	Extension without change of a currently approved collection	1993-11-08
199010-2900-009 Approved without change	Extension without change of a currently approved collection	1990-10-25
198711-2900-003 Approved without change	Reinstatement with change of a previously approved collection	1987-11-23
198608-2900-066 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-08-08
198406-2900-023 Approved without change	Revision of a currently approved collection	1984-06-20
198312-2900-001 Approved without change	New collection (Request for a new OMB Control Number)	1983-12-05