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Federal forms, ICRs, and supporting documents

Information Collection

Foot Conditions, Including Flatfoot (Pes Planus) Disability Benefits Questionnaire (21-0960M-6)

IC 206558 under ICR 201709-2900-022 · OMB 2900-0810.

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Form
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Foot Conditions, Including Flatfoot (Pes Planus) Disability Benefits Questionnaire (21-0960M-6) 2900-NEW VBA-COMP-DB
 
No Modified
 
Voluntary
 
38 CFR 3.326 38 CFR 3.351

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21-0960M-6 Foot Conditions, Including Flatfoot (Pes Planus) Disability Benefits Questionnaire VA Form 21-0960M-6 (508 Conformant 1-18-17).pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

Compensation, Pension, Education, and Rehabilitation Records—VA (58VA21/22/28)  75 FR 29275

80,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 80,000 0 0 0 0 80,000
Annual IC Time Burden (Hours) 40,000 0 0 0 0 40,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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