Statement of Disappearance

Statement of Disappearance (VA Form 21P-1775)

OMB: 2900-0036

IC ID: 28145

Information Collection (IC) Details

View Information Collection (IC)

Statement of Disappearance 2900-0036 VBA-COMP-NK
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 21P-1775 Statement of Disappearance VA Form 21P-1775 (2-25-16).pdf www.va.gov/vaforms Yes No Fillable Printable

General Government Legislative Functions

Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records-VA (58VA21/22/28)  74 FR 29275

10 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 10 0 0 0 0 10
Annual IC Time Burden (Hours) 28 0 0 0 0 28
Annual IC Cost Burden (Dollars) 566 0 0 0 0 566

Title Document Date Uploaded
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