Application for Automobile or Other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901-3904)

Application for Automobile or Other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901-3904)

OMB: 2900-0067

IC ID: 28212

Information Collection (IC) Details

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Application for Automobile or Other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901-3904) 2900-0067
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 3.808

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 21-4502 Application for Automobile or other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901-3904) 21-4502.pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

 

1,552 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,552 0 0 0 0 1,552
Annual IC Time Burden (Hours) 388 0 0 0 0 388
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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