Ankle Conditions Disability Benefits Questionnaire (21-0960M-2)

Ankle Conditions Disability Benefits Questionnaire (21-0960M-2)

OMB: 2900-0806

IC ID: 206554

Information Collection (IC) Details

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Ankle Conditions Disability Benefits Questionnaire (21-0960M-2) 2900-NEW VBA-COMP-DB
 
No New
 
Voluntary
 
38 CFR 3.351 38 CFR 3.326

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-0960M-2 Ankle Conditions Disability Benefits Questionnaire 21-0960M-2.pdf http://www.va.gov/vaforms/ Yes No Fillable Printable

General Government Legislative Functions

Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)  75 FR 29275

30,000 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 30,000 0 30,000 0 0 0
Annual IC Time Burden (Hours) 15,000 0 15,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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