Request for Contact Information (VA Form Letter 21-30)

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 can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
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All Historical Document Collections

202009-2900-009 Not subject to PRA	Reinstatement without change of a previously approved collection	2021-04-13
201701-2900-003 Approved without change	Extension without change of a currently approved collection	2017-06-26
201312-2900-020 Approved with change	Revision of a currently approved collection	2014-08-19
201103-2900-010 Approved without change	Extension without change of a currently approved collection	2011-07-18
200709-2900-019 Approved without change	Extension without change of a currently approved collection	2008-05-23
200503-2900-016 Approved without change	New collection (Request for a new OMB Control Number)	2005-03-23