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Residency Verification Report-Veterans and Survivors (FL21-914)
Residency Verification Report-Veterans and Survivors (Form Letter 21-914)
OMB: 2900-0655
IC ID: 28931
OMB.report
VA
OMB 2900-0655
ICR 202309-2900-008
IC 28931
( )
Documents and Forms
Document Name
Document Type
Form VA FL 21-914
Residency Verification Report-Veterans and Survivors (FL21-914)
Form
VA FL 21-914 Residency Verification Report - Veterans and Survivors
FL 21-914(9-26-23).pdf
www.va.gov/vaforms
Form
Information Collection (IC) Details
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