VA 0918F Veterans Day National Committee Annual Dues Request

OMB Approved Number 2900-0921
Respondent Burden: 5 Minutes
Expiration Date: Sept. 17, 2023

VETERANS DAY NATIONAL COMMITTEE
DEPARTMENT OF VETERANS AFFAIRS
ATTN: VETERANS DAY COORDINATOR (002D)
810 VERMONT AVENUE, NW
WASHINGTON, DC 20420

ANNUAL DUES
AS ESTABLISHED IN THE VDNC BY-LAWS AND AGREED UPON BY THE COMMITTEE, DUES ARE:

MEMBERS:

$300.00

ASSOCIATE MEMBERS:

$150.00

PAYMENT DUE DATE:

JUNE 1, 2023

PLEASE MAKE CHECKS PAYABLE TO:
VETERANS DAY NATIONAL COMMITTEE
PLEASE SEND PAYMENT TO:

VETERANS DAY NATIONAL COMMITTEE
DEPARTMENT OF VETERANS AFFAIRS
ATTN: MICHAEL TAYLOR (002D)
810 VERMONT AVENUE, NW
ROOM 915D
WASHINGTON, DC 20420

RESPONDENT BURDEN: VA may not conduct or sponsor, and the respondent is not required to respond to this collection of information unless it
displays a valid OMB Control Number. Public reporting burden for this collection of information is estimated to average 5 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. If you have comments regarding this burden estimate or any other aspect of this collection of information, call
1-877-222-8387 for mailing information on where to send your comments.
VA FORM
MAR 2023

0918f