Non-Degenerative Arthritis (including inflammatory, autoimmune, crystalline and infections arthritis) and Dysbaric Osteonecrosis Disability Benefits Questionnaire

Non-Degenerative Arthritis (including inflammatory, autoimmune, crystalline and infectious arthritis) and Dysbaric Osteonecrosis Disability Benefits Questionnaire (VA Form 21-0960M-3)

OMB: 2900-0801

IC ID: 206553

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Non-Degenerative Arthritis (including inflammatory, autoimmune, crystalline and infections arthritis) and Dysbaric Osteonecrosis Disability Benefits Questionnaire 2900-NEW VBA-COMP-DB
 
No Modified
 
Voluntary
 
38 CFR 3.351 38 CFR 3.326

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-0960M-3 Non-Degenerative Arthritis (including inflammatory, autoimmune, crystalline and infections arthritis) and Dysbaric Osteonecrosis Disability Benefits Questionnaire VBA-21-0960M-3-ARE.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 29275

100,000 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 100,000 0 0 0 0 100,000
Annual IC Time Burden (Hours) 25,000 0 0 0 0 25,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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