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Prescription Authorization, Application, Procurement, Repair, and Loan of Prosthetic Items
Prescription Authorization, Application, Procurement, Repair, and Loan of Prosthetic Items
OMB: 2900-0188
IC ID: 28429
OMB.report
VA
OMB 2900-0188
ICR 199803-2900-003
IC 28429
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0188 can be found here:
2024-05-06 - Reinstatement with change of a previously approved collection
2017-10-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Prescription Authorization, Application, Procurement, Repair, and Loan of Prosthetic Items
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
VAF-10-2520
No
No
Form
VAF-10-2421
No
No
Form
FL-10-90
No
No
Form
FL-10-426
No
No
Form
VAF-10-2914
No
No
Form
VAF-10-1394
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
512,844
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
512,844
0
0
0
0
512,844
Annual IC Time Burden (Hours)
36,496
0
0
0
0
36,496
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.