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OMB Control No. 2900-0133 Respondent Burden: 15 Mins. APPLICATION FOR AMOUNTS ON DEPOSIT FOR DECEASED VETERAN 1. VETERAN IS NAME (First, Middle, Last Print or type) 2. VA FILE NUMBER BC/XSS 3. CLAIMANT
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This form is usually required by individuals or organizations who are participating in a study, survey, or research project that requires them to provide information or feedback. It may be requested by government agencies, universities, or other research institutions. The purpose of this form is to gather data and measure the burden or impact of participation on the respondents.
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