src/applications/income-and-asset-statement/containers/IntroductionPage.jsx
import React from 'react';
import { focusElement } from 'platform/utilities/ui';
import FormTitle from 'platform/forms-system/src/js/components/FormTitle';
import SaveInProgressIntro from 'platform/forms/save-in-progress/SaveInProgressIntro';
class IntroductionPage extends React.Component {
componentDidMount() {
focusElement('.va-nav-breadcrumbs-list');
}
render() {
const { route } = this.props;
const { formConfig, pageList } = route;
return (
<article className="schemaform-intro">
<FormTitle
title="21P-0969 Income and Asset Statement Form"
subtitle="Equal to VA Form 21P-0969 (21P-0969 Income and Asset Statement Form)"
/>
<SaveInProgressIntro
headingLevel={2}
prefillEnabled={route.formConfig.prefillEnabled}
messages={formConfig.savedFormMessages}
pageList={pageList}
startText="Start the Application"
>
Please complete the 21P-0969 form to apply for benefits.
</SaveInProgressIntro>
<h2 className="vads-u-font-size--h3 vad-u-margin-top--0">
Follow these steps below to apply for benefits
</h2>
<va-process-list uswds>
<va-process-list-item header="Prepare">
<h4 className="vads-u-margin-y--1">
To fill out this application, you’ll need this information:
</h4>
<ul>
<li>
Your Social Security number or VA file number{' '}
<span className="vads-u-color--secondary-dark">
(*Required)
</span>
</li>
</ul>
<p>
<strong>What if I need help filling out my application?</strong>{' '}
An accredited representative, like a Veterans Service Officer
(VSO), can help you fill out your claim.{' '}
<a href="/disability-benefits/apply/help/index.html">
Get help filing your claim
</a>
</p>
</va-process-list-item>
<va-process-list-item header="Apply">
<p>Complete and submit the pension benefits application form.</p>
<p>Complete this benefits form.</p>
<p>
After submitting the form, you’ll get a confirmation message. You
can print this for your records.
</p>
</va-process-list-item>
<va-process-list-item header="Review">
<p>
We process claims within a week. If more than a week has passed
since you submitted your application and you haven’t heard back,
please don’t apply again. Call us at.
</p>
</va-process-list-item>
<va-process-list-item header="Decision">
<p>
Once we’ve processed your claim, you’ll get a notice in the mail
with our decision.
</p>
</va-process-list-item>
</va-process-list>
<SaveInProgressIntro
buttonOnly
headingLevel={2}
prefillEnabled={formConfig.prefillEnabled}
messages={formConfig.savedFormMessages}
pageList={pageList}
startText="Start the Application"
/>
<p />
<va-omb-info
res-burden={30}
omb-number="2900-0829"
exp-date="11/30/2026"
/>
</article>
);
}
}
export default IntroductionPage;