Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
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
To view an IC, click on IC Title