Information Collection Request
Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (VA Form 21P-8416b)
ICR 202402-2900-015 · OMB 2900-0545 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 21P-8416b Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (21P-8416b) |
Form | Modified | Missing upstream |
 30-Day FRN - 2900-0545 (2024).pdf |
Supplementary Document | Uploaded 2024-05-01 | Repair queued |
 2900-0545 Supporting Statement (21P-8416b).docx |
Supporting Statement A | Uploaded 2024-05-01 | Repair queued |
| 60-Day FRN (published).pdf |
Supplementary Document | Uploaded 2024-02-27 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 28721 |  Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (21P-8416b) |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0545 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202012-2900-006 |
| Agency Tracking No | VBA-P&F-YA |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |