OMB control number
Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet (VA Form 21-0773)
OMB 2900-0720 ยท VA.
OMB 2900-0720
The VA Form 21-0773 will serve as a checklist for Veterans Service Representatives to verify they have given information, applications, and/or referral service to our Operation Enduring Freedom or Operation Iraqi Freedom service members who have at least six months remaining on active duty and who may have suffered a serious injury or illness.
The latest form for Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet (VA Form 21-0773) expires 2020-11-30 and is listed under ICR 201704-2900-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 21-0773 Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet | Form |
| 30-Day FRN - 2900-0720 (2017).pdf | Supplementary Document |
 2900-0720, Supporting Statement (21-0773).docx | Supporting Statement A |
| 60-day FRN published on 04-26-17.pdf | Supplementary Document |
 Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201704-2900-003 | Extension without change of a currently approved collection | 2017-09-20 | Approved without change | |
| 201406-2900-013 | Revision of a currently approved collection | 2015-01-05 | Approved without change | |
| 201107-2900-022 | Extension without change of a currently approved collection | 2011-12-20 | Approved without change | |
| 200804-2900-021 | New collection (Request for a new OMB Control Number) | 2008-09-11 | Approved without change |