OMB 2900-0716

OMB 2900-0176 supplementary.docx

VA Form 4939, Complaint of Employment Discrimination; VA Form 08-10192, Information for Pre-Complaint Processing

OMB 2900-0716

OMB: 2900-0716

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OMB 2900-0176 VA Form 28-1905c

VA Form 28-1905c is being submitted as a no material or non-substantive change to a currently approved collection. The expiration date placeholder has been added to the form. Also changed were the USC code and the system of records code in the Privacy Act and Respondent Burden sections on the instructions page.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDepartment of Veterans Affairs
File Modified0000-00-00
File Created2021-01-24

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