Neck (Cervical Spine) Conditions Disability Benefits Questionnaire (VA Form 21-0960M-13)

Neck (Cervical Spine) Conditions Disability Benefits Questionnaire (VA Form 21-0960M-13)

OMB: 2900-0807

IC ID: 206615

Information Collection (IC) Details

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Neck (Cervical Spine) Conditions Disability Benefits Questionnaire (VA Form 21-0960M-13) VBA-COMP-DJ
 
No Modified
 
Voluntary
 
38 CFR 3.351(d) 38 CFR 3.351(e) 38 CFR 3.326

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 21-0960M-13 Neck (Cervical Spine) Conditions Disability Benefits Questionnaire VBA-21-0960M-13-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

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 50,000 0
Annual IC Time Burden (Hours) 37,500 0 0 0 37,500 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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