Information Collection Request

Authorization to Disclose Information to a Third Party (Insurance) (VA Forms 29-0975 & 29-0975e)

ICR 202401-2900-003 · OMB 2900-0856 · Received in OIRA

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2024-03-15
Supplementary Document
2024-03-15
Supplementary Document
2024-01-24
IC Document Collections
ICR Details
StatusReceived in OIRA
Agency/SubagencyVA
OMB Control No2900-0856
Type of Information CollectionExtension without change of a currently approved collection
Previous ICR Reference No202206-2900-018
Agency Tracking NoVBA-INS-NK
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31