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Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (21P-8416b)
Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (VA Form 21P-8416b)
OMB: 2900-0545
IC ID: 28721
OMB.report
VA
OMB 2900-0545
ICR 202402-2900-015
IC 28721
( )
Documents and Forms
Document Name
Document Type
Form 21P-8416b
Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (21P-8416b)
Form
21P-8416b Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death
VA Form 21P-8416b -New Burden Statement (508 Conformant 6-20-23) 3-28-24.pdf
www.va.gov/vaforms
Form
Information Collection (IC) Details
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