Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (VA Form 21P-8416b)

ICR 202402-2900-015

Forms and Documents

Document Name	Status
Form 21P-8416b Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (21P-8416b) Form	Modified
30-Day FRN - 2900-0545 (2024).pdf Supplementary Document	2024-05-01
2900-0545 Supporting Statement (21P-8416b).docx Supporting Statement A	2024-05-01
60-Day FRN (published).pdf Supplementary Document	2024-02-27

IC Document Collections

IC ID	Document Title	Status
28721	Report of Medical, Legal, and Other Expenses Incident to Recovery for Injury or Death (21P-8416b) Form	Modified

ICR Details