OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Disability Benefits Questionnaires (Group 3)

OMB 2900-0778 ยท VA.

OMB 2900-0778

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form VA Form 21-0960N-1 EAR CONDITIONS (INCLUDING VESTIBULAR AND INFECTIOUS CONDITIONS) DISABILITY BENEFITS QUESTIONNAIREForm
Form VA Form 21-0960M-1 OSTEOMYELITIS DISABILITY BENEFITS QUESTIONNAIREForm
Form VA Form 21-0960L-2 SLEEP APNEA DISABILITY BENEFITS QUESTIONNAIREForm
Form VA Form 21-0960K-2 GYNECOLOGICAL CONDITIONS DISABILITY BENEFITS QUESTIONNAIREForm
Form VA Form 21-0960K-1 BREAST CONDITIONS AND DISORDERS DISABILITY BENEFITS QUESTIONNAIREForm
Form VA Form 21-0960H-2 RECTUM AND ANUS CONDITIONS (INCLUDING HEMORRHOIDS) DISABILITY BENEFITS QUESTIONNAIREForm
Form VA Form 21-0960G-8 INFECTIOUS INTESTINAL DISORDERS, INCLUDING BACTERIAL ANDForm
Form VA Form 21-0960G-7 STOMACH AND DUODENAL CONDITIONS (NOT INCLUDING GERD OR ESOPHAGEAL DISORDERS) DISABILITY BENEFITS QUESTIONNAIREForm
Form VA Form 21-0960G-6 PERITONEAL ADHESIONS DISABILITY BENEFITS QUESTIONNAIREForm
Form VA Form 21-0960G-5 HEPATITIS, CIRRHOSIS AND OTHER LIVER CONDITIONSForm
Form VA Form 21-0960G-4 INTESTINAL SURGERY (BOWEL RESECTION, COLOSTOMY, ILEOSTOMY) DISABILITY BENEFITS QUESTIONNAIREForm
Form VA Form 21-0960G-3 INTESTINAL CONDITIONS (OTHER THAN SURGICAL OR INFECTIOUS)Form
Form VA Form 21-0960G-2 GALLBLADDER AND PANCREAS CONDITIONSForm
Form VA Form 21-0960-G- ESOPHAGEAL CONDITIONS (Including gastroesophageal reflux disease (GERD),Form
Form VA Form 21-0960C-9 MULTIPLE SCLEROSIS (MS)Form
Form VA Form 21-0960C-8 HEADACHES (INCLUDING MIGRAINE HEADACHES)Form
Form VA Form 21-0960C-5 CENTRAL NERVOUS SYSTEM AND NEUROMUSCULAR DISEASESForm
2016-11049, 30-Day FRN, Group 3 DBQs.pdf Supplementary Document
OMB2900-0778 (Group3 DBQs), SS.docxSupporting Statement A
2016-03207 (Group 3 DBQ) 60-day FRN.pdf Supplementary Document
DBQ Supplemental (Grp 3).docx Supplementary Document
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form
Disability Benefits Questionnaires (Group 3) Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201511-2900-001 Revision of a currently approved collection 2016-05-11 Approved without change
201402-2900-001 Revision of a currently approved collection 2014-11-18 Approved with change
201201-2900-007 No material or nonsubstantive change to a currently approved collection 2012-01-12 Approved without change
201112-2900-015 No material or nonsubstantive change to a currently approved collection 2011-12-30 Approved without change
201101-2900-013 New collection (Request for a new OMB Control Number) 2011-07-27 Approved without change