OMB control number

DoD Referral to Integrated Disability Evaluation System (IDES) (VA Form 21-0819)

OMB 2900-0704 · VA.

OMB 2900-0704

This form is used in a joint effort between VA and the Department of Defense (DoD), as recommended by former President Bush’s Interagency Task Force on Returning Global War on Terror Heroes, to determine an injured or ill Global War on Terrorism (GWOT) service member’s military readiness fitness for military retention, level of disability for retirement, and VA Disability compensation. VA Form 21-0819 has been updated, to include: • A new title. • New standardization data points; to include optical character recognition boxes. This is a non-substantive change. • The burden has been decreased from 30 to 15 minutes.

The latest form for DoD Referral to Integrated Disability Evaluation System (IDES) (VA Form 21-0819) expires 2021-07-31 and is listed under ICR 201803-2900-003.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201803-2900-003 Revision of a currently approved collection 2018-04-18 Approved with change
201508-2900-010 Revision of a currently approved collection 2016-02-24 Approved without change
201209-2900-013 Extension without change of a currently approved collection 2013-01-25 Approved with change
200909-2900-011 Extension without change of a currently approved collection 2009-12-24 Approved without change
200710-2900-006 Extension without change of a currently approved collection 2008-03-25 Approved without change
200708-2900-005 New collection (Request for a new OMB Control Number) 2007-09-17 Approved without change