Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Authorization to Disclose Information to VA (VA Form 21-4142), General Release of Medical Provider Information to VA (VA Form 21-4142a) Modified 440246 36687 0 Form 21-4142
Form 21-4142a
Total burden requested under this ICR: 440246 36687 0  
To view an IC, click on IC Title