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Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845)
Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845)
OMB: 2900-0736
IC ID: 188786
OMB.report
VA
OMB 2900-0736
ICR 202111-2900-010
IC 188786
( )
Documents and Forms
Document Name
Document Type
Form 21-0845
Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845)
Form
21-0845 Authorization to Disclose Personal Information to a Third Party
VAF21-0845 (1-11-23).pdf
www.va.gov/vaforms/
Form
Information Collection (IC) Details
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