OMB control number
Residency Verification Report-Veterans and Survivors (Form Letter 21-914)
OMB 2900-0655 · VA.
OMB 2900-0655
Form Letter 21-914 gathers the information necessary to verify that a Filipino veteran or beneficiary who is receiving benefits at the full-dollar rate based on U.S. residency continues to meet the residency requirements. The proper rate of payment could not be determined without this information.
The latest form for Residency Verification Report-Veterans and Survivors (Form Letter 21-914) expires 2027-01-31 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
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Form |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Form VA FL 21-914 Residency Verification Report-Veterans and Survivors (FL21-914)
2023-26548, 30-Day FRN (2900-0655).pdf
2900-0655, Supporting Statement (FL21-914).docx
Residency Verification Report-Veterans and Survivors (FL21-914) All Historical Document Collections
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Approved without change |
Revision of a currently approved collection | 2023-12-06 | |
| Reinstatement without change of a previously approved collection | 2020-12-17 | ||
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Approved without change |
Extension without change of a currently approved collection | 2017-03-30 | |
|
Approved with change |
Revision of a currently approved collection | 2014-03-24 | |
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Approved without change |
Extension without change of a currently approved collection | 2011-01-03 | |
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Approved without change |
Extension without change of a currently approved collection | 2007-12-17 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 2004-10-22 |