Information Collection Request

Lay/Witness Statement (VA Form 21-10210)

ICR 202403-2900-003 · OMB 2900-0881 · Received in OIRA

Forms and Documents

Document Name	Status
Form 21-10210 Lay/Witness Statement (VA Form 21-10210) Form and Instruction	Modified
30-Day FRN (published).pdf Supplementary Document	2024-05-30
2024-06021, 60-Day FRN (2900-0881).pdf Supplementary Document	2024-05-23
2900-0881, Supporting Statement (VAF21-10210) km.docx Supporting Statement A	2024-05-30

IC Document Collections

IC ID	Document Title	Status
242781	Lay/Witness Statement (VA Form 21-10210) Form and Instruction	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	VA
OMB Control No	2900-0881
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202009-2900-002
Agency Tracking No	VBA-COMP-KM
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31