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Federal forms, ICRs, and supporting documents

OMB control number

Disability Benefits Questionnaires (Group 4)

OMB 2900-0781 · VA.

OMB 2900-0781

Latest Forms, Documents, and Supporting Material

Document Name
Form VA Form 21-0960C-3 Disability Benefits Questionnaires (Group 4) Form
Supporting Statement (2900-0781).docx Supporting Statement A
2019-16024.pdf Supplementary Document
2019-09203.pdf Supplementary Document
Disability Benefits Questionnaires (Group 4) Form

All Historical Document Collections

201903-2900-012 Approved without change	Extension without change of a currently approved collection	2019-10-01
201511-2900-002 Approved without change	Revision of a currently approved collection	2016-05-11
201406-2900-015 Approved without change	Revision of a currently approved collection	2015-01-05
201101-2900-014 Approved without change	New collection (Request for a new OMB Control Number)	2012-01-09