OMB control number
Written Confirmation of Request for Accommodation; Authorization for Limited Release of Medical Information
OMB 2900-0767 ยท VA.
OMB 2900-0767
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA Form 0857A Written Confirmation of Request for Accommodation; Authorization for Limited Release of Medical Information | Form |
 0857a justification.doc | Supporting Statement A |
 0857 EEO comments.tif | Supplementary Document |
 Written Confirmation of Request for Accommodation; Authorization for Limited Release of Medical Information |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201004-2900-003 | Existing collection in use without an OMB Control Number | 2010-07-13 | Approved without change |