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Eligibility Verification Reports
Eligibility Verification Reports (EVRs)
OMB: 2900-0101
IC ID: 28278
OMB.report
VA
OMB 2900-0101
ICR 201708-2900-012
IC 28278
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0101 can be found here:
2024-05-01 - Extension without change of a currently approved collection
2021-06-16 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form VA Form 21P-0510
Eligibility Verification Reports
Form
VA Form 21P-0510 Eligibility Verification Report Instructions
21P-0510(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0510 ( Eligibility Verification Report Instructions (Spanish)
21P-0510(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0512S- Old Law Section 306 Eligibility Verification Report (Sur
21P-0512s-1(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0512S- Old Law and Section 306 Eligibility Verification Report
21P-0512s-1(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0512V- Old Law and 306 Eligibility Verification Report (Veteran
21P-0512V-1(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report
21P-0513-1(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0513-1 Old Law and Section 306 Eligibility Verification Report
21P-0513-1(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0514-1 DIC Eligibility Verification Report
21P-0514-1(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0514-1 DIC Parent's Eligibility Verification Report
21P-0514-1(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report (Vetera
21P-0516-1(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0516-1 Improved Pension Eligibility Verification Report (Vetera
21P-0516-1(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera
21P-0517-1(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0517-1 Improved Pension Eligibility Verification Report (Vetera
21P-0517-1(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv
21P-0518-1(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0518-1 Improved Pension Eligibility Verification Report (Surviv
21P-0518-1(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child
21P-0519C-1(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0519C- Improved Pension Eligibility Verification Report (Child
21P-0519C-1(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv
21P-0519s-1(8-29-17).pdf
www.va.gov/vaforms
Form
VA Form 21P-0519S- Improved Pension Eligibility Verification Report (Surviv
21P-0519s-1(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Eligibility Verification Reports
Agency IC Tracking Number:
2900-0101
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
38 CFR 3.256
38 CFR 3.277
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(8-29-17).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Form
VA Form 21P-0510 (Spanish)
Eligibility Verification Report Instructions (Spanish)
21P-0510(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Form
VA Form 21P-0512S-1
Old Law Section 306 Eligibility Verification Report (Surviving Spouse)
21P-0512s-1(8-29-17).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)(8-29-17).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Form
VA Form 21P-0512V-1
Old Law and 306 Eligibility Verification Report (Veteran)
21P-0512V-1(8-29-17).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(8-29-17).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)
21P-0513-1(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Form
VA Form 21P-0514-1
DIC Eligibility Verification Report
21P-0514-1(8-29-17).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Form
VA Form 21P-0514-1 (Spanish)
DIC Parent's Eligibility Verification Report
21P-0514-1(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Form
VA Form 21P-0516-1
Improved Pension Eligibility Verification Report (Veteran With No Children)
21P-0516-1(8-29-17).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)
21P-0516-1(Spanish)(8-29-17).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(8-29-17).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Form
VA Form 21P-0517-1 (Spanish)
Improved Pension Eligibility Verification Report (Veteran With Children)
21P-0517-1(Spanish)(8-29-17).pdf
www.va.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(8-29-17).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)
21P-0518-1(Spanish)(8-29-17).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Form
VA Form 21P-0519C-1
Improved Pension Eligibility Verification Report (Child or Children)
21P-0519C-1(8-29-17).pdf
www.va.gov/vaforms
Yes
No
Fillable Printable
Form
VA Form 21P-0519C-1 (Spanish)
Improved Pension Eligibility Verification Report (Child or Children)
21P-0519C-1(Spanish)(8-29-17).pdf
www.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(8-29-17).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)
21P-0519s-1(Spanish)(8-29-17).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:
Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)
FR Citation:
77 FR 42593
Number of Respondents:
69,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
69,000
0
0
-150,000
0
219,000
Annual IC Time Burden (Hours)
34,500
0
0
-78,575
0
113,075
Annual IC Cost Burden (Dollars)
0
0
0
-2,713,800
0
2,713,800
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.