Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) (VA Form 21P-8924)

OMB 2900-0390

VA Form 21P-8924 (formerly VA Form 21-8924) is used to gather information that is necessary to determine entitlement of a veteran's surviving spouse or child to REPS benefits.

The latest form for Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) (VA Form 21P-8924) expires 2021-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VA Form 21P-8924 Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) Form
60-Day FRN (published).pdf Supplementary Document
30-Day FRN (published).pdf Supplementary Document
2900-0390 Supporting Statement (21P-8924) (1).docx Supporting Statement A
Application of Surviving Spouse or Child for REPS Benefits (Restored Entitlement Program for Survivors) Form

All Historical Document Collections

202401-2900-009 Approved without change	Revision of a currently approved collection	2024-04-15
202102-2900-004 Approved with change	Reinstatement without change of a previously approved collection	2021-04-26
201708-2900-014 Approved without change	Reinstatement without change of a previously approved collection	2018-01-04
201408-2900-014 Approved without change	Revision of a currently approved collection	2014-10-03
201404-2900-001 Withdrawn and continue	Revision of a currently approved collection	2014-07-30
201309-2900-010 Withdrawn and continue	Revision of a currently approved collection	2013-09-19
201103-2900-003 Approved without change	Extension without change of a currently approved collection	2011-06-28
200712-2900-009 Approved without change	Extension without change of a currently approved collection	2008-04-03
200506-2900-008 Approved without change	Extension without change of a currently approved collection	2005-06-27
200205-2900-008 Approved without change	Extension without change of a currently approved collection	2002-05-15
199904-2900-012 Approved without change	Reinstatement without change of a previously approved collection	1999-04-12
199504-2900-005 Approved without change	Revision of a currently approved collection	1995-04-26
199202-2900-004 Approved without change	Revision of a currently approved collection	1992-02-10
198901-2900-002 Approved without change	Revision of a currently approved collection	1989-01-04
198511-2900-007 Approved without change	Revision of a currently approved collection	1985-11-25
198408-2900-007 Approved without change	Revision of a currently approved collection	1984-08-06
198310-2900-001 Approved without change	Revision of a currently approved collection	1983-10-18
198307-2900-001 Approved without change	New collection (Request for a new OMB Control Number)	1983-07-05