Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21-0966)

ICR 202111-2900-007

OMB: 2900-0826

Federal Form Document

Forms and Documents

Document Name	Status
Form VA Form 21-0966 Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21-0966) Form	Modified
2023-00590.pdf Supplementary Document	2023-01-17
2022-24354.pdf Supplementary Document	2022-11-08
2900-0826, Supporting Statement (VAF21-0966).docx Supporting Statement A	2023-01-11

IC Document Collections

IC ID	Document Title	Status
212535	Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC (VA Form 21-0966) Form	Modified