REPS Annual Eligibility Report (VA Form 21P-8941)

OMB 2900-0405

OMB 2900-0405

VA Form 21P-8941 (formerly VA Form 21-8941) is used to gather information that is necessary to determine a REPS beneficiary's continued entitlement to REPS benefits. Without this information, VA would be unable to properly authorize benefits, and overpayments would result.

The latest form for REPS Annual Eligibility Report (VA Form 21P-8941) expires 2021-03-31 and can be found here.

All Historical Document Collections
Approved with change
Extension without change of a currently approved collection 2024-03-21
Approved without change
Reinstatement without change of a previously approved collection 2021-04-23
Approved without change
Extension without change of a currently approved collection 2017-12-27
Approved without change
Revision of a currently approved collection 2014-09-25
Approved without change
Extension without change of a currently approved collection 2011-08-25
Approved without change
Extension without change of a currently approved collection 2008-07-18
Approved without change
Extension without change of a currently approved collection 2005-07-01
Approved without change
Extension without change of a currently approved collection 2002-05-08
Approved without change
Reinstatement without change of a previously approved collection 1999-07-22
Approved without change
Extension without change of a currently approved collection 1995-08-28
Approved without change
Revision of a currently approved collection 1992-12-02
Approved without change
Reinstatement with change of a previously approved collection 1989-10-13
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-04-06
Approved without change
Reinstatement with change of a previously approved collection 1987-09-17
Approved without change
Revision of a currently approved collection 1984-08-23
Approved without change
New collection (Request for a new OMB Control Number) 1983-12-28

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