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Directory Results for 2900-0065 Respondent Burden: 15 minutes Expiration Date: 11/30/2017 REQUEST FOR EMPLOYMENT INATION IN CONNECTION WITH CLAIM FOR DISABILITY BENEFITS SECTION I - IDENTIFICATION INFORMATION (To be completed by VA) to 2900-0075 Respondent Burden: 15 minutes Department of Veterans Affairs STATEMENT IN SUPPORT OF CLAIM PRIVACY ACT INATION: The VA will not disclose information collected on this form to any source other than what has heen authorized