OMB control number
Decision Review Request: Supplemental Claim (VA Form 20-0995)
OMB 2900-0886 ยท VA.
OMB 2900-0886
VA Form 20-0995 is used by a claimant and/or beneficiary to formally request a review of an initial VA decision, based on new and relevant evidence, in accordance with the Appeals Modernization Act. Without this information, VA would be unable to initiate a supplemental claim on behalf of the claimant or determine the issues for which the claimant seeks review.
The latest form for Decision Review Request: Supplemental Claim (VA Form 20-0995) expires 2027-05-31 and is listed under ICR 202402-2900-006.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA Form 20-0995 Decision Review Request: Supplemental Claim (VA Form 20-0995) | Form |
| 2024-08343 (2900-0886).pdf | Supplementary Document |
| 2024-02944, 60-Day FRN (VAF20-0995).pdf | Supplementary Document |
| 2900-0886, Supporting Statement (VAF20-0995).docx | Supporting Statement A |
 Decision Review Request: Supplemental Claim (VA Form 20-0995) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202402-2900-006 | Revision of a currently approved collection | 2024-04-22 | Approved without change | |
| 202208-2900-007 | No material or nonsubstantive change to a currently approved collection | 2022-08-19 | Approved without change | |
| 202011-2900-001 | New collection (Request for a new OMB Control Number) | 2021-02-25 | Approved without change |