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Agency Information Collection Activity Under OMB Review: Application of Surviving Spouse or Child for REPS Benefits

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Veterans Benefits Administration, Department of Veterans Affairs.




In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Benefits Administration (VBA), Department of Veterans Affairs, will submit the collection of information abstracted below to the Office of Management and Budget (OMB) for review and comment. The PRA submission describes the nature of the information collection and its expected cost and burden and it includes the actual data collection instrument.


Comments must be submitted on or before February 5, 2018.


Submit written comments on the collection of information through, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer, 725 17th St. NW, Washington, DC 20503 or sent through electronic mail to Please refer to “OMB Control No. 2900-0390” in any correspondence.

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Cynthia Harvey-Pryor, Office of Quality, Privacy and Risk, Department of Veterans Affairs, 811 Vermont Avenue, Floor 5, Area 368, Washington, DC 20420, (202) 461-5870 or email Please refer to “OMB Control No. 2900-0390” in any correspondence.

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Authority: 42 U.S.C. 402, E.O. 12436, Public Law 97-377 Section 156.

Title: Application of Surviving Spouse or Child for REPS Benefits (VA Form 21P-8924).

OMB Control Number: 2900-0390.

Type of Review: Extension without change of a currently approved collection.

Abstract: Restored Entitlement Program for Survivors (REPS) benefits are payable to certain surviving spouses and children of veterans who died in service prior to August 13, 1981 or who died as a result of a service-connected disability incurred or aggravated prior to August 13, 1981. Child beneficiaries over age 18 and under age 23 must be enrolled full-time in an approved post-secondary school.

Executive Order 12436 “Payment of Certain Benefits to Survivors of Persons Who Died In or As A Result of Military Service” (found at 42 U.S.C. 402 (Note)) directs VA administer the provisions of Public Law 97-377 Section 156. VA codified this authority at 38 CFR 3.812.

VBA uses VA Form 21P-8924 to evaluate the eligibility of surviving spouses and children to REPS benefits, including information regarding the claimant's relationship to the Veteran, employment status, and earnings. Based on the information contained in the form, VBA makes decisions to grant, deny, or amend existing, benefits payments. The VA Form number is being changed to “21P-8924” to reflect Pension and Fiduciary Service's responsibility for the form.

An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The Federal Register Notice with a 60-day comment period soliciting comments on this collection of information was published at 82 FR 48748 on October 19, 2017.

Affected Public: Individuals and households.

Estimated Annual Burden: 600 hours.

Estimated Average Burden per Respondent: 20 minutes.

Frequency of Response: Once.

Estimated Number of Respondents: 1,800.

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By direction of the Secretary.

Cynthia Harvey-Pryor,

Department Clearance Officer, Office of Quality, Privacy and Risk, Department of Veterans Affairs.

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[FR Doc. 2017-28463 Filed 1-3-18; 8:45 am]