Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Disability Benefits Questionnaires (Group 2) Modified 725000 311250 0 Form VA Form 21-0960M-6 Foot Miscellaneous (Other than Flatfoot/Pes Planus) Disability Benefits Questionnaire
Form VA Form 21-0960M-2 Ankle Conditons Disability Benefits Questionnaire
Form VA Form 21-0960M-12 Shoulder and Arm Conditions Disability Benefits Questionnaire
Form VA Form 21-0960A-2 Artery and Vein Conditions (Vascular Diseases including Varicose Veins) Disability Benefits Questionnaire
Form VA Form 21-0960M-5 Flatfoot (Pes Planus) Disability Benefits Questionnaire
Form VA Form 21-0960F-1 Scars/Disfigurement Disability Benefits Questionnaire
Form VA Form 21-0960M-16 Wrist Conditions Disability Benefits Questionnaire
Form VA Form 21-0960M-15 Temporomandibular Joint (TMJ) Conditions Disability Benefits Questionnaire
Form VA Form 21-0960M-7 Hand and Finger Conditions Disability Benefits Questionnaire
Form VA Form 21-0960M-8 Hip and Thigh Conditions Disability Benefits Questionnaire
Form VA Form 21-0960M-9 Knee and Lower Leg Conditions Disability Benefits Questionnaire
Form VA Form 21-0960A-4 Heart Conditions (Including Ischemic and Non-Ischemic Heart Disease, Arrhythmias, Valvular Disease and Cardiac Surgery) Disability Benefits Questionnaire
Form VA Form 21-0960C-4 Diabetic Sensory-Motor Peripheral Neuropathy Disability Benefits Questionnaire
Form VA Form 21-0960M-4 Elbow and Forearm Conditions Disability Benefits Questionnaire
Form VA Form 21-0960N-2 Eye Conditions Disability Benefits Questionnaire
Form VA Form 21-0960A-3 Hypertension Disability Benefits Questionnaire
Form VA Form 21-0960M-1 Amputations Disability Benefits Questionnaire
Form VA Form 21-0960F-2 Skin Diseases Disability Benefits Questionnaire
Form VA Form 21-0960M-10 Muscle Injuries Disability Benefits Questionnaire
Form VA Form 21-0960E-1 Diabetes Mellitus Disability Benefits Questionnaire
Total burden requested under this ICR: 725000 311250 0  
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