OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Benefits for a Qualifying Veteran's Child Born with Disabilities (VA Form 21-0304)

OMB 2900-0572 · VA.

OMB 2900-0572

VA Form 21-0304 is used to determine the monetary allowance for a child born with Spina Bifida or certain birth defects who is the natural child of a Vietnam and certain Thailand or Korea service veterans. Without this information, VA would be unable to effectively administer 38 U.S.C. 1805, 1815, 1821, and 1822.

The latest form for Application for Benefits for a Qualifying Veteran's Child Born with Disabilities (VA Form 21-0304) expires 2026-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form
All Historical Document Collections
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 Reinstatement without change of a previously approved collection 2019-11-27
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 Revision of a currently approved collection 2016-02-24
Withdrawn and continue
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Withdrawn and continue
 Revision of a currently approved collection 2013-09-19
Approved with change
 Extension without change of a currently approved collection 2012-12-18
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 Extension without change of a currently approved collection 2009-12-24
Approved without change
 Extension without change of a currently approved collection 2007-03-01
Approved without change
 Extension without change of a currently approved collection 2004-03-19
Approved without change
 Reinstatement without change of a previously approved collection 2001-02-02
Approved without change
 New collection (Request for a new OMB Control Number) 1997-05-20