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Fillable VA Form 21-4138 (Rev. Aug 2011) - vba - vba va

Description

OMB Approved No. 2900-0075 Respondent Burden: 15 minutes STATEMENT IN SUPPORT OF CLAIM PRIVACY ACT INFORMATION: The VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses (i.e., civil or criminal law enforcement, congressional communications, epidemiological or...
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