OMB control number
Shoulder and Arm Conditions Disability Benefits Questionnaire (VA Form 21-0960M-12)
OMB 2900-0802 ยท VA.
OMB 2900-0802
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 21-0960M-12 Shoulder and Arm Conditions Disability Benefits Questionnaire (21-0960M-12) | Form |
| 2017-07865, 30-Day FRN (2900-0802).pdf | Supplementary Document |
| 2017-01751, 60-Day FRN (2900-0802).pdf | Supplementary Document |
 2900-0802, Supporting Statement (21-0960M-12).docx | Supporting Statement A |
 Shoulder and Arm Conditions Disability Benefits Questionnaire (21-0960M-12) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201709-2900-021 | Reinstatement without change of a previously approved collection | 2017-09-29 | Approved without change | |
| 201612-2900-004 | Reinstatement with change of a previously approved collection | 2017-05-11 | Withdrawn and continue | |
| 201304-2900-029 | New collection (Request for a new OMB Control Number) | 2013-11-25 | Approved with change |