Notice of Disagreement (VA Form 21-0958)

Notice of Disagreement (VA Form 21-0958)

OMB: 2900-0791

IC ID: 202598

Information Collection (IC) Details

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Notice of Disagreement (VA Form 21-0958)
 
No Modified
 
Voluntary
 
38 CFR 4.16 38 CFR 3.326 38 CFR 3.351

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-0958 Notice of Disagreement VA Form 21-0958 (OMB Expiring - 1-3-18)_FINAL.pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

 

199,800 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 199,800 0 55,800 0 0 144,000
Annual IC Time Burden (Hours) 49,950 0 -22,050 0 0 72,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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