Marital Status Questionnaire (21P-0537)

OMB 2900-0495

VA Form 21P-0537 is used to verify a surviving spouse’s current marital status to verify his or her continuing entitlement to DIC benefits. The form letter is automatically generated and mailed to DIC beneficiaries. Agency action depends on the information provided by the beneficiary. If the information provided supports the beneficiary’s continued entitlement to benefits, no action is taken. If the information provided by the beneficiary does not support continued entitlement to benefits, VA will take action to terminate benefit payments, based on the facts found.

The latest form for Marital Status Questionnaire (21P-0537) expires 2022-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 21P-0537 Marital Status Questionnaire Form
30-day FRN - 2900-0495 (6-6-22).pdf Supplementary Document
60-Day FRN (2900-0495).pdf Supplementary Document
2900-0495, Supporting Statement (VA Form 21-0537).docx Supporting Statement A
Marital Status Questionnaire Form

All Historical Document Collections

202203-2900-017 Approved with change	Revision of a currently approved collection	2022-06-07
201901-2900-007 Approved with change	Extension without change of a currently approved collection	2019-05-30
201602-2900-003 Approved with change	Revision of a currently approved collection	2016-06-09
201406-2900-022 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-06-19
201303-2900-013 Approved without change	Revision of a currently approved collection	2013-08-29
201002-2900-012 Approved without change	Extension without change of a currently approved collection	2010-06-10
200706-2900-037 Approved without change	Extension without change of a currently approved collection	2007-07-02
200406-2900-002 Approved without change	Extension without change of a currently approved collection	2004-06-15
200107-2900-016 Approved without change	Reinstatement without change of a previously approved collection	2001-07-25
199801-2900-005 Approved without change	Reinstatement without change of a previously approved collection	1998-01-29
199406-2900-001 Approved without change	Extension without change of a currently approved collection	1994-06-30
199105-2900-001 Approved without change	Revision of a currently approved collection	1991-05-02
198807-2900-003 Approved without change	New collection (Request for a new OMB Control Number)	1988-07-08