OMB control number
Request for Contact Information (VA Form Letter 21-30)
OMB 2900-0660 ยท VA.
OMB 2900-0660
VA Form Letter 21-30 is used to locate individuals when a field examination is necessary to maintain program integrity. The form is used when contact information cannot be obtained by other means and travel funds may be significantly impacted. Without this information, VA could not effectively administer its benefit programs, and misuse of funds and fraud could continue.
The latest form for Request for Contact Information (VA Form Letter 21-30) expires 2020-08-31 and is listed under ICR 201701-2900-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA Form FL21-30 Request for Contact Information (FL21P-30) | Form |
 SupportStatement (2900-0660).docx | Supporting Statement A |
| 2021-07527.pdf | Supplementary Document |
| 2021-03899, 60-Day FRN (2900-0660).pdf | Supplementary Document |
 Request for Contact Information (FL21P-30) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202009-2900-009 | Reinstatement without change of a previously approved collection | 2021-04-13 | Not subject to PRA | |
| 201701-2900-003 | Extension without change of a currently approved collection | 2017-06-26 | Approved without change | |
| 201312-2900-020 | Revision of a currently approved collection | 2014-08-19 | Approved with change | |
| 201103-2900-010 | Extension without change of a currently approved collection | 2011-07-18 | Approved without change | |
| 200709-2900-019 | Extension without change of a currently approved collection | 2008-05-23 | Approved without change | |
| 200503-2900-016 | New collection (Request for a new OMB Control Number) | 2005-03-23 | Approved without change |