Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet (VA Form 21-0773)

OMB 2900-0720

The VA Form 21-0773 will serve as a checklist for Veterans Service Representatives to verify they have given information, applications, and/or referral service to our Operation Enduring Freedom or Operation Iraqi Freedom service members who have at least six months remaining on active duty and who may have suffered a serious injury or illness.

The latest form for Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet (VA Form 21-0773) expires 2020-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 21-0773 Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet Form
30-Day FRN - 2900-0720 (2017).pdf Supplementary Document
2900-0720, Supporting Statement (21-0773).docx Supporting Statement A
60-day FRN published on 04-26-17.pdf Supplementary Document
Operation Enduring Freedom/Operation Iraqi Freedom Seriously Injured/Ill Service Member Veteran Worksheet Form

All Historical Document Collections

201704-2900-003 Approved without change	Extension without change of a currently approved collection	2017-09-20
201406-2900-013 Approved without change	Revision of a currently approved collection	2015-01-05
201107-2900-022 Approved without change	Extension without change of a currently approved collection	2011-12-20
200804-2900-021 Approved without change	New collection (Request for a new OMB Control Number)	2008-09-11