OMB control number

Disability Benefits Questionnaires (Group 2)

OMB 2900-0776 ยท VA.

OMB 2900-0776

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form VA Form 21-0960E-1 Diabetes Mellitus Disability Benefits QuestionnaireForm
Form VA Form 21-0960M-1 Muscle Injuries Disability Benefits QuestionnaireForm
Form VA Form 21-0960F-2 Skin Diseases Disability Benefits QuestionnaireForm
Form VA Form 21-0960M-1 Amputations Disability Benefits QuestionnaireForm
Form VA Form 21-0960A-3 Hypertension Disability Benefits QuestionnaireForm
Form VA Form 21-0960N-2 Eye Conditions Disability Benefits QuestionnaireForm
Form VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits QuestionnaireForm
Form VA Form 21-0960A-4 Heart Conditions (Including Ischemic and Non-Ischemic Heart Disease, Arrhythmias, Valvular Disease and Cardiac Surgery) Disability Benefits QuestionnaireForm
Form VA Form 21-0960M-1 Temporomandibular Joint (TMJ) Conditions Disability Benefits QuestionnaireForm
Form VA Form 21-0960F-1 Scars/Disfigurement Disability Benefits QuestionnaireForm
Form VA Form 21-0960A-2 Artery and Vein Conditions (Vascular Diseases including Varicose Veins) Disability Benefits QuestionnaireForm
2017-25592, 30-Day FRN (Group 2 DBQs).pdf Supplementary Document
2017-08440, 60-Day FRN (2900-0776).pdf Supplementary Document
2900-0776, Supporting Statement (Group 2 DBQs).docxSupporting Statement A
Disability Benefits Questionnaires (Group 2) Form
Disability Benefits Questionnaires (Group 2) Form
Disability Benefits Questionnaires (Group 2) Form
Disability Benefits Questionnaires (Group 2) Form
Disability Benefits Questionnaires (Group 2) Form
Disability Benefits Questionnaires (Group 2) Form
Disability Benefits Questionnaires (Group 2) Form
Disability Benefits Questionnaires (Group 2) Form
Disability Benefits Questionnaires (Group 2) Form
Disability Benefits Questionnaires (Group 2) Form
Disability Benefits Questionnaires (Group 2) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201711-2900-012 Reinstatement with change of a previously approved collection 2018-02-06 Approved without change
201312-2900-023 Revision of a currently approved collection 2014-09-19 Approved without change
201201-2900-003 No material or nonsubstantive change to a currently approved collection 2012-01-12 Approved without change
201112-2900-014 No material or nonsubstantive change to a currently approved collection 2011-12-30 Approved without change
201101-2900-010 New collection (Request for a new OMB Control Number) 2011-06-09 Approved with change