Document Name Document Type
Form VA Form 21P-0510 Eligibility Verification Reports Form
VA Form 21P-0510 Eligibility Verification Report Instructions 21P-0510(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0510(S Eligibility Verification Report Instructions (Spanish) 21P-0510(Spanish)(7-14).pdf vaww.va.gov/vaforms Form
VA Form 21P-0512S- Old Law and Section 306 Eligibility Verification Report 21P-0512S-1(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0512S- Old Law and Section 306 Eligibility Verification Report 21P-0512S-1(Spanish)(7-14).pdf vaww.va.gov/vaforms Form
VA Form 21P-0512V- Old Law Section 306 Eligibility Verification Report (Vet 21-0512V-1(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report 21P-0513-1(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report 21P-0513-1(Spanish)(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0514-1 DIC Parent's Eligibility Verification Report 21P-0514-1(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0514-1 DIC Parent's Eligibility Verification Report (Spanish) 21P-0514-1(Spanish)(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report 21P-0516-1(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report (Vetera 21P-0516-1(Spanish)(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera 21P-0517-1(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera 21P-0517-1(Spanish)(7-14).pdf vaww.gov/vaforms Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv 21P-0518-1(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv 21P-0518-1(Spanish)(7-14).pdf vaww.va.gov/vaforms Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child 21P-0519C-1(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child 21P-0519C-1(Spanish)(7-14).pdf vaww.va.gov/vaforms Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv 21P-0519S-1(7-14).pdf www.va.gov/vaforms Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv VBA-21P-0519s-1(Spanish)-ARE.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Eligibility Verification Reports	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.277 38 CFR 3.256

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21P-0510	Eligibility Verification Report Instructions	21P-0510(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0510(Spanish)	Eligibility Verification Report Instructions (Spanish)	21P-0510(Spanish)(7-14).pdf	vaww.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0512S-1	Old Law and Section 306 Eligibility Verification Report (Surviving Spouse)	21P-0512S-1(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0512S-1 (Spanish)	Old Law and Section 306 Eligibility Verification Report (Surviving Spouse)	21P-0512S-1(Spanish)(7-14).pdf	vaww.va.gov/vaforms	Yes	No	Fillable Fileable
Form	VA Form 21P-0512V-1	Old Law Section 306 Eligibility Verification Report (Veteran)	21-0512V-1(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0513-1	Old Law and Section 306 Eligibility Verification Report (Children Only)	21P-0513-1(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0513-1 (Spanish)	Old Law and Section 306 Eligibility Verification Report (Children Only) (Spanish)	21P-0513-1(Spanish)(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0514-1	DIC Parent's Eligibility Verification Report	21P-0514-1(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0514-1 (Spanish)	DIC Parent's Eligibility Verification Report (Spanish)	21P-0514-1(Spanish)(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0516-1	Improved Pension Eligibility Verification Report	21P-0516-1(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0516-1 (Spanish)	Improved Pension Eligibility Verification Report (Veteran with No Children) (Spanish)	21P-0516-1(Spanish)(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0517-1	Improved Pension Eligibility Verification Report (Veteran with Children)	21P-0517-1(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0517-1 (Spanish)	Improved Pension Eligibility Verification Report (Veteran with Children) (Spanish)	21P-0517-1(Spanish)(7-14).pdf	vaww.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0518-1	Improved Pension Eligibility Verification Report (Surviving Spouse with No Children)	21P-0518-1(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0518-1 (Spanish)	Improved Pension Eligibility Verification Report (Surviving Spouse with No Children) (Spanish)	21P-0518-1(Spanish)(7-14).pdf	vaww.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519C-1	Improved Pension Eligibility Verification Report (Child or Children)	21P-0519C-1(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519C-1 (Spanish)	Improved Pension Eligibility Verification Report (Child or Children) (Spanish)	21P-0519C-1(Spanish)(7-14).pdf	vaww.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519S-1	Improved Pension Eligibility Verification Report (Surviving Spouse with Children)	21P-0519S-1(7-14).pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21P-0519S-1(Spanish)	Improved Pension Eligibility Verification Report (Surviving Spouse with Children)	VBA-21P-0519s-1(Spanish)-ARE.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 219,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	219,000	0	219,000
Annual IC Time Burden (Hours)	113,075	0	113,075
Annual IC Cost Burden (Dollars)	2,713,800	2,713,800	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Eligibility Verification Reports

Eligibility Verification Reports (EVRs)

OMB: 2900-0101

IC ID: 28278

View Information Collection (IC)