Information Collection Request
Statement in Support of Claim (VA Form 21-4138)
ICR 202403-2900-002 · OMB 2900-0075 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form VA Form 21-4138 Statement in Support of Claim (VA Form 21-4138) |
Form | Modified | Repair queued |
 2024-11840, 30-Day FRN (2900-0075, VAF21-4138).pdf |
Supplementary Document | Uploaded 2024-05-30 | Repair queued |
| 2024-06019, 60-Day FRN (2900-0075, VAF21-4138).pdf |
Supplementary Document | Uploaded 2024-05-30 | Repair queued |
 2900-0075, Supporting Statement (VAF21-4138).docx |
Supporting Statement A | Uploaded 2024-05-30 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 28224 |  Statement in Support of Claim (VA Form 21-4138) |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0075 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202009-2900-018 |
| Agency Tracking No | VBA-COMP-NK |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |