OMB control number
VA Copayment Refund - USAA/Hartford Claim Form
OMB 2900-0642 ยท VA.
OMB 2900-0642
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 VA Copayment Refund - USAA/Hartford Claim Form |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200407-2900-022 | No material or nonsubstantive change to a currently approved collection | 2004-07-24 | Approved without change | |
| 200308-2900-007 | Extension without change of a currently approved collection | 2003-08-12 | Approved with change | |
| 200302-2900-004 | New collection (Request for a new OMB Control Number) | 2003-02-27 | Approved without change |