VA/DOD Joint Disability Evaluation Board Claim

VA/DOD Joint Disability Evaluation Board Claim (VA Form 21-0819)

OMB: 2900-0704

IC ID: 181456

Information Collection (IC) Details

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VA/DOD Joint Disability Evaluation Board Claim 2900-0704
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 3.101

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 21-0819 VA/DOD Joint Disability Evaluation Board Claim 21-0819(10-15).pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

 

14,000 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 14,000 0 0 0 0 14,000
Annual IC Time Burden (Hours) 7,000 0 0 0 0 7,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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