10-10143 Election to Receive Authorized Non-VA Care and Selection of Provider for the Veterans Community Care Program

Expanded Access to Non-VA Care Through the Mission Act: Veterans Community Care Program (VCCP)

OMB: 2900-0823

IC ID: 213635

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10-10143 Election to Receive Authorized Non-VA Care and Selection of Provider for the Veterans Community Care Program 2900-0823
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
38 CFR 17.1515

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Script 10-10143_Election to Non-VA Care_Telephone Script - 2020.docx No   Paper Only

Health Health Care Services

 

3,665,000 0
   
Individuals or Households
 
   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 3,665,000 0 0 0 0 3,665,000
Annual IC Time Burden (Hours) 610,833 0 0 0 0 610,833
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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