Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Automobile or Other Conveyance and Adaptive Equipment (Under 38 U.S.C. 3901-3904) (21-4502) Modified 1552 388 9312 Form VA Form 21-4502 Application for Automobile or other Conveyence & Adaptive Equipment
Total burden requested under this ICR: 1552 388 9312  
To view an IC, click on IC Title