2900-0495 Revisions Description

2900-0495 Revisions Description.docx

Marital Status Questionnaire (21P-0537)

2900-0495 Revisions Description

OMB: 2900-0495

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Description of Revisions – Marital Status Questionnaire
(VA Form 21P-0537)
OMB 2900-0495


This paper discusses the substantive changes made to 2900-0495.

The form was revised to include box 11E, “Is your new spouse a Veteran”. The form also includes new box 11F, which requests the new spouse’s SSN if the answer to 11E is “Yes.”

Finally, box 11G was inserted to capture the beneficiaries age at the time of remarriage.

These changes will not affect the respondent burden.

Non-substantive changes include changing the text of the form letter, the form letter signature, the VA form number, Privacy Act information, and the addition of the collection’s OMB expiration date. These changes don’t affect the information collected, so they do not affect the respondent burden.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDanny McCargar, Pension Analyst
File Modified0000-00-00
File Created2021-01-24

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