10-10143f - Community Care Document Cover Sheet

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

OMB: 2900-0823

IC ID: 241051

Information Collection (IC) Details

View Information Collection (IC)

10-10143f - Community Care Document Cover Sheet 2900-0823
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-10143f Community Care Document Cover Sheet VA Form 10-10143f_Community Care Document Cover Sheet.pdf Yes Yes Fillable Printable

Health Health Care Services

 

500,000 0
   
Individuals or Households
 
   50 %

  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 500,000 0 0 0 0 500,000
Annual IC Time Burden (Hours) 41,667 0 0 0 0 41,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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