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

Information Collection (IC) Details

View Information Collection (IC)

Authorization to Disclose Personal Information to a Third Party (VA Form 21-0845) 2900-0736
 
No Modified
 
Voluntary
 
38 CFR 1.576(b) 38 CFR 1.526(a)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-0845 Authorization to Disclose Personal Information to a Third Party VAF21-0845 (1-11-23).pdf www.va.gov/vaforms/ Yes No Fillable Printable

General Government Legislative Functions

Compensation, Pension, Education, and Veterans Readiness and Employment Records-VA (58VA21/22/28)  87 FR 8740

113,660 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 113,660 0 93,660 0 20,000 0
Annual IC Time Burden (Hours) 9,472 0 7,805 0 1,667 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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