State Home Report and Statement of Federal Aid Claimed

State Home Programs for Veterans (VA Forms 10-5588, 10-5588A, 10-10SH) -- AR61

OMB: 2900-0160

IC ID: 237051

Information Collection (IC) Details

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State Home Report and Statement of Federal Aid Claimed 2900-0160
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 52 38 CFR 51

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 10-5588 State Home Report and Statement of Federal Aid Claimed VA Form 10-5588.pdf http://www.va.gov/vaforms/ Yes No Fillable Printable

Health Health Care Services

 

139 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 1,668 0 0 0 0 1,668
Annual IC Time Burden (Hours) 834 0 0 0 0 834
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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