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OMB Control No. 29000779 Respondent Burden: 15 minutes MALE REPRODUCTIVE ORGAN CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE IMPORTANT THE DEPARTMENT OF VETERANS AFFAIRS (VA) WILL NOT PAY OR REIMBURSE
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The cdncocodoccompdfva-form-21-0960j-2important form is from the Department of Veterans Affairs.
Veterans or their beneficiaries may be required to file the cdncocodoccompdfva-form-21-0960j-2important form with the Department of Veterans Affairs.
The cdncocodoccompdfva-form-21-0960j-2important form can be filled out online on the Department of Veterans Affairs website or submitted by mail.
The purpose of the cdncocodoccompdfva-form-21-0960j-2important form is to provide information about a veteran or beneficiary's medical condition.
The cdncocodoccompdfva-form-21-0960j-2important form requires information about the veteran or beneficiary's medical history, current medical conditions, and any treatments or medications they are receiving.
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