Knee and Lower Leg Conditions Disability Benefits Questionnaire (21-0960M-9)

Knee and Lower Leg Conditions Disability Benefits Questionnaire (21-0960M-9)

OMB: 2900-0813

IC ID: 206590

Information Collection (IC) Details

View Information Collection (IC)

Knee and Lower Leg Conditions Disability Benefits Questionnaire (21-0960M-9) 2900-0813
 
No Modified
 
Voluntary
 
38 CFR 3.351(d) 38 CFR 3.326 38 CFR 3.351(e)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-0960M-9 Knee and Lower Leg Conditions Disability Benefits Questionnaire 21-0960M-9(12-19-16).pdf 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 22187

50,000 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 50,000 0 0 0 0 50,000
Annual IC Time Burden (Hours) 25,000 0 0 0 0 25,000
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.

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