Report of Medical Examination for Disability Evaluation

Report of Medical Examination for Disability Evaluation

OMB: 2900-0052

IC ID: 28183

Information Collection (IC) Details

View Information Collection (IC)

Report of Medical Examination for Disability Evaluation 2900-0052
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 3.351(d) and (e) 38 CFR 3.326

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-2545 Report of Medical Eamination for Disbility Evaluation 21-2545-ARE.pdf No   Paper Only

General Government Legislative Functions

 

180,000 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 180,000 0 0 0 0 180,000
Annual IC Time Burden (Hours) 45,000 0 0 0 0 45,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy