Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845)

ICR 202111-2900-010

OMB: 2900-0736

Federal Form Document

Forms and Documents

Document Name	Status
Form 21-0845 Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) Form	Modified
30-Day FRN - 2900-0736 (2023).pdf Supplementary Document	2023-01-20
2022-24462, 60-Day FRN (VAF21-0845).pdf Supplementary Document	2023-01-12
2900-0736, Supporting Statement (VAF21-0845).docx Supporting Statement A	2023-01-12

IC Document Collections

IC ID	Document Title	Status
188786	Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) Form	Modified