30-Day FRN (2900-0721)

2023-00592, 30-Day FRN (VAF21-2680).pdf

Examination for Housebound Status or Permanent Need for Regular Aid and Attendance (VA Form 21-2680)

30-Day FRN (2900-0721)

OMB: 2900-0721

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2900-0721 can be found here:

2026-02-13 - Revision of a currently approved collection

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