Information Collection Request
Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (VA Form 21P-8416b)
ICR 202402-2900-015 · OMB 2900-0545 · Received in OIRA
Forms and Documents
Document Name | Status |
|---|---|
Form |
Modified |
Supplementary Document | 2024-05-01 |
Supporting Statement A | 2024-05-01 |
Supplementary Document | 2024-02-27 |
Form 21P-8416b Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (21P-8416b)
30-Day FRN - 2900-0545 (2024).pdf
2900-0545 Supporting Statement (21P-8416b).docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 28721 | Modified |
Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (21P-8416b)ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0545 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202012-2900-006 |
| Agency Tracking No | VBA-P&F-YA |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |