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Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet

IC 184617 under ICR 201704-2900-003 · OMB 2900-0720.

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Document Type
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Form
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Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet 2900-0720
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-0773 Global War on Terrorism Seriously Injured/ILL Servicemember/Veteran Worksheet VA Form 21-0773 - 508 Conformant (4-10-17).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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