Responsibility for maintaining this information collection has been transferred to Pension and Fiduciary Service, a program office in VBA. As a result, VBA has updated the collection’s VA form number to VA Form 21P-1775.
The date of expiration of OMB’s authorization for this information collection has been added to the form.
The form now contains additional information regarding the collection of Social Security Numbers in the Privacy Act Notice.
The information gathered by this collection and the respondent time burden have not changed. Therefore, VA believes all changes to be non-substantial in nature.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | SUPPORTING STATEMENT FOR VA FORM 10-2065, FUNERAL ARRANGEMENTS; VA FORM 10-10, APPLICATION FOR MEDICAL BENEFITS; VA FORM 10-10I, |
| Author | Preferred Customer |
| File Modified | 0000-00-00 |
| File Created | 2021-01-24 |