View Information Collection (IC)

View Information Collection (IC)

IC Title:	Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD), Statement in Support of Claim for Service Connection for Post-Traumatic Stress...	Agency IC Tracking Number:	2900-0659

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 3.304(f)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 21-0781	Statement in Support of Claim for Service Connection for Post Traumatic Stress Disorder	21-0781.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable
Form	VA Form 21-0781a	Statement in Support of Claim for Service Connection for PTSD Secondary to Personal Assault	21-0781A.pdf	www.va.gov/vaforms	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,240	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	15,240	0	0	0	0	15,240
Annual IC Time Burden (Hours)	17,780	0	0	0	0	17,780
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.