OMB control number
Disability Benefits Questionnaires (21-0960A-1, 21-0960B-1, 21-0960C-1)
OMB 2900-0749 ยท VA.
OMB 2900-0749
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA Form 21-0960A-1 Disability Benefits Questionnaires | Form |
| 2017-01744, 30-Day FRN (2900-0749).pdf | Supplementary Document |
| 2016-27489 (60-Day FRN, 2900-0749).pdf | Supplementary Document |
 2900-0749 (A-1, B-1, C-1), (2-10-17).doc | Supporting Statement A |
 Disability Benefits Questionnaires |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201610-2900-005 | Extension without change of a currently approved collection | 2017-02-16 | Approved without change | |
| 201305-2900-001 | Extension without change of a currently approved collection | 2013-11-15 | Approved with change | |
| 201009-2900-005 | Extension without change of a currently approved collection | 2010-12-29 | Approved without change | |
| 201005-2900-009 | New collection (Request for a new OMB Control Number) | 2010-06-15 | Approved without change |