Marital Status Questionnaire

Marital Status Questionnaire (21-0537)

OMB: 2900-0495

IC ID: 28678

Information Collection (IC) Details

View Information Collection (IC)

Marital Status Questionnaire 2900-0495
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-0537 Marital Status Questionnaire VA Form 21-0537 (DOMA - 6-18-18).pdf No   Paper Only

General Government Legislative Functions

 

2,286 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 2,286 0 0 0 0 2,286
Annual IC Time Burden (Hours) 191 0 0 0 0 191
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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