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If Applicable NAME OF ARTICLE AND DESCRIPTION Catalog identification size etc. QUANTITY Set pair etc. ESTIMATED COST VA FORM APR 1998 28-1905m SUPERSEDES VA FORM 28-1905m MAY 1995 WHICH WILL NOT BE USED. U.S. DOD Form dod-va-28-1905m OMB Approved No. 2900-0061 Respondent Burden 1 hour REQUEST FOR SUPPLIES Chapter 31-Vocational Rehabilitation PRIVACY ACT INFORMATION No benefits may be paid unless a completed application form has been received 38 C.

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