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Notice to Department of Veterans Affairs of Veteran or Beneficiary Incarcerated in Penal Institution (VA Form 21-4193)

IC 28320 under ICR 202506-2900-007 · OMB 2900-0116.

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Notice to Department of Veterans Affairs of Veteran or Beneficiary Incarcerated in Penal Institution (VA Form 21-4193)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VBA-21-4193 NOTICE TO DEPARTMENT OF VETERANS AFFAIRS OF VETERAN OR BENEFICIARY INCARCERATED IN PENAL INSTITUTION VBA-21-4193-ARE 2.pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

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

9,953 0
   
State, Local, and Tribal Governments
 
   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 9,953 0 1,956 0 0 7,997
Annual IC Time Burden (Hours) 2,488 0 489 0 0 1,999
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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