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VA Form 0873 IRIS Customer Entry Form
Inquiry Routing and Information System (IRIS)
IRIS Customer Entry Form
Inquiry Routing and Information System (IRIS)
OMB: 2900-0619
OMB.report
VA
OMB 2900-0619
ICR 201003-2900-001
IC 28876
VA Form 0873 IRIS Customer Entry Form
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2900-0619 can be found here:
2017-01-18 - Revision of a currently approved collection
2013-07-30 - Revision of a currently approved collection
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IRIS Customer Entry Form, page 1
IRIS Customer Entry Form, page 2
File Type
application/msword
File Title
IRIS Customer Entry Form, page 1
Author
Nancy Tucker
File Modified
2010-03-04
File Created
2010-03-04
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