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  3. OMB 2900-0173

OMB control number

Application For Medical Benefits

OMB 2900-0173 · VA.

OMB 2900-0173
Latest Forms, Documents, and Supporting Material
Document
Name
APPLICATION FOR MEDICAL BENEFITS
Form
All Historical Document Collections
198606-2900-001
Approved without change
Revision of a currently approved collection 1986-06-24
198502-2900-003
Approved without change
Revision of a currently approved collection 1985-02-06
198405-2900-008
Approved without change
Revision of a currently approved collection 1984-05-25
198105-2900-005
Approved without change
Revision of a currently approved collection 1981-05-14
197901-2900-001
Approved without change
Revision of a currently approved collection 1979-01-05
197812-2900-003
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-12-31
197801-2900-010
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-01-25
197710-2900-001
Approved without change
Revision of a currently approved collection 1977-10-13
197410-2900-001
Approved without change
Revision of a currently approved collection 1974-10-21

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