OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Shoulder and Arm Conditions Disability Benefits Questionnaire (VA Form 21-0960M-12)

OMB 2900-0802 · VA.

OMB 2900-0802

Latest Forms, Documents, and Supporting Material

Document Name
Form 21-0960M-12 Shoulder and Arm Conditions Disability Benefits Questionnaire (21-0960M-12) Form
2017-07865, 30-Day FRN (2900-0802).pdf Supplementary Document
2017-01751, 60-Day FRN (2900-0802).pdf Supplementary Document
2900-0802, Supporting Statement (21-0960M-12).docx Supporting Statement A
Shoulder and Arm Conditions Disability Benefits Questionnaire (21-0960M-12) Form

All Historical Document Collections

201709-2900-021 Approved without change	Reinstatement without change of a previously approved collection	2017-09-29
201612-2900-004 Withdrawn and continue	Reinstatement with change of a previously approved collection	2017-05-11
201304-2900-029 Approved with change	New collection (Request for a new OMB Control Number)	2013-11-25