Check the Appropriate Box for Protected Pension Rates

Veteran ONLY

Veteran with Dependents

Special A/A Allowance When Income Exceeds

38 CFR 3.552 Rates (Hospital Reduction) for Special A/A Allowance

The rate entitled to on December 31, 1978, may be continued if the IVAP for 2022 is or less.

The rate entitled to (see 38 CFR 3.552 Rate Chart on page VI (1978) ) on December 31, 1978, will be paid if the veteran is hospitalized on January 1, 2022, or later and the veteran's IVAP for 2022 is or less.

Section 306 Disability Pension Spouse Income Exclusion Under 38 CFR 3.262(b)(2) is $5,826.

Section 306 Death Pension Survivor Benefit Plan (SBP) / Minimum Income Widow (MIW) Annuity Limitation is $10,757.