OMB control number

REPS Annual Eligibility Report (VA Form 21P-8941)

OMB 2900-0405 · VA.

OMB 2900-0405

Restored Entitlement Program for Survivors (REPS), under the Provisions of Section 156 Public Law 97-377, 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. VA Form 21P-8941 is completed annually by claimants who have earned income that is at or near the limit for allowable earned income. Without the information provided on the form, determination of continued eligibility would not be possible.

The latest form for REPS Annual Eligibility Report (VA Form 21P-8941) expires 2027-04-30 and can be found here.

All Historical Document Collections
Approved with change
Extension without change of a currently approved collection 2024-03-21
Approved without change
Reinstatement without change of a previously approved collection 2021-04-23
Approved without change
Extension without change of a currently approved collection 2017-12-27
Approved without change
Revision of a currently approved collection 2014-09-25
Approved without change
Extension without change of a currently approved collection 2011-08-25
Approved without change
Extension without change of a currently approved collection 2008-07-18
Approved without change
Extension without change of a currently approved collection 2005-07-01
Approved without change
Extension without change of a currently approved collection 2002-05-08
Approved without change
Reinstatement without change of a previously approved collection 1999-07-22
Approved without change
Extension without change of a currently approved collection 1995-08-28
Approved without change
Revision of a currently approved collection 1992-12-02
Approved without change
Reinstatement with change of a previously approved collection 1989-10-13
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-04-06
Approved without change
Reinstatement with change of a previously approved collection 1987-09-17
Approved without change
Revision of a currently approved collection 1984-08-23
Approved without change
New collection (Request for a new OMB Control Number) 1983-12-28