Va Form 26-8084 - Claim For Repurchase Of Loan Page 2
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2PRIVACY ACT NOTICE: VA will not disclose information collected on this form to any source other than what has been
authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses (e.g., to a member of
Congress inquiring on behalf of a veteran) as identified in the VA system of records, 55VA26, Loan Guaranty Home, Condominium
and Manufactured Home Loan Applicant Records, Specially Adapted Housing Applicant Records, and Vendee Loan Applicant
Records - VA, and published in the Federal Register. Your obligation to respond is mandatory under 38 CFR 36.4600.
RESPONDENT BURDEN: We need this information in order to determine the amount payable under 38 CFR 36.4600. Title 38,
U.S.C. 3710 allows us to ask for this information. We estimate that you will need an average of 30 minutes to review the instructions,
find the information, and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control
number is displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB
control numbers can be located on the OMB Internet Pate at If desired, you can call
1-800-827-1000 to get information on where to send comments or suggestions about this form.
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