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Get VA Form 0928d - US Department Of Veterans Affairs - Va

ONAL VETERANS SUMMER SPORTS CLINIC PRIVACY ACT: VA is asking you to provide the information on this form under USC, Chapter 5, Section 521 and Chapter 17, Section 1710. VA may disclose the information that you put on this form as permitted by law. VA may make a "routine use" disclosure of the information as outlined in the Privacy Act systems of records notices identified as 121VA19 National Patient Databases - VA . Providing the requested information is voluntary. RESPONDENT BURDEN: The Pa.

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