VA From 10-307: PCAFC Notice of Disagreement (NOD)

Program of Comprehensive Assistance for Family Caregivers (PCAFC) - Decision Appeal Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0894 can be found here:

Documents and Forms

Document Name Document Type
Form 10-307 VA From 10-307: PCAFC Notice of Disagreement (NOD) Form and Instruction
10-307 PCAFC Notice of Disagreement VA Form 10-307_Notice of Disagreement_PCAFC Decison Appeal_10212021.pdf Form and Instruction
10-307 PCAFC Notice of Disagreement VA Form 10-307_Notice of Disagreement_PCAFC Decison Appeal_10212021.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	VA From 10-307: PCAFC Notice of Disagreement (NOD)	Agency IC Tracking Number:	2900-NEW

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 71

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-307	PCAFC Notice of Disagreement	VA Form 10-307_Notice of Disagreement_PCAFC Decison Appeal_10212021.pdf		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 85,540	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	85,540	85,540
Annual IC Time Burden (Hours)	42,770	42,770
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.