OMB Approved No[removed]Respondent Burden: 10 Minutes APPLICATION FOR ANNUAL CLOTHING ALLOWANCE (Under 38 U.S.C[removed]PRIVACY ACT INFORMATION: No benefits may be granted unless this form is completed fully as require - Social Security Administration Act - Document - PDFSEARCH.IO

First Page	Meta Content
	OMB Approved No[removed]Respondent Burden: 10 Minutes APPLICATION FOR ANNUAL CLOTHING ALLOWANCE (Under 38 U.S.C[removed]PRIVACY ACT INFORMATION: No benefits may be granted unless this form is completed fully as require Add to Reading List Document Date: 2003-08-07 16:42:36 Open Document File Size: 10,19 KB Share Result on Facebook Facility MEDICAL CENTER WHICH ISSUED THE APPLIANCE OR MEDICATION CERTIFICATION / VA Medical Center / / IndustryTerm metal brace / Soft and flexible devices / / Organization Prosthetic and Sensory Aids Service / VA Medical Center / VA regional office / / / Position physician / / Product OF APPLIANCE OR NAME OF MEDICATION / LOCATION OF VA MEDICAL CENTER WHICH ISSUED THE APPLIANCE OR MEDICATION / / SocialTag Disability Educational psychology Population Veterans Health Administration Social Security Prosthesis Biology Medicine Health United States Department of Veterans Affairs

OMB Approved No[removed]Respondent Burden: 10 Minutes APPLICATION FOR ANNUAL CLOTHING ALLOWANCE (Under 38 U.S.C[removed]PRIVACY ACT INFORMATION: No benefits may be granted unless this form is completed fully as requireAdd to Reading List