Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (VA Form 21-8938-1)

Student Beneficiary Report – Restored Entitlement Program for Survivors (REPS) (VA Form 21P-8938-1)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0399 can be found here:

Documents and Forms

Document Name Document Type
Form VAF 21P-8938-1 Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (VA Form 21-8938-1) Form
VAF 21P-8938-1 Student Beneficiary Report-REPS (Restored Entitlement Pr VBA-21P-8938-1-ARE.pdf www.va.gov/vaforms Form
VAF 21P-8938-1 Student Beneficiary Report-REPS (Restored Entitlement Pr VBA-21P-8938-1-ARE.pdf www.va.gov/vaforms Form

Information Collection (IC) Details

IC Title:	Student Beneficiary Report - REPS (Restored Entitlement Program for Survivors) (VA Form 21-8938-1)	Agency IC Tracking Number:	2900-0399

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 3.812

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VAF 21P-8938-1	Student Beneficiary Report-REPS (Restored Entitlement Program for Survivors)	VBA-21P-8938-1-ARE.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

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: 84 FR 4138

Number of Respondents: 1,200	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	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,200	-4,100	5,300
Annual IC Time Burden (Hours)	300	-1,467	1,767
Annual IC Cost Burden (Dollars)	0	-42,135	42,135

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.