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Expanded Access to Non-VA Care through the MISSION Program: Establishing a Process for Certification, Discontinuance, and Disputes for Veterans Care Agreements (VCAs) - AQ45
OMB 2900-0872
OMB.report
VA
OMB 2900-0872
OMB 2900-0872
Latest Forms, Documents, and Supporting Material
Document
Name
AQ45_VCA Process_Emergency Clearance Request Memo_SES Signature_08.29.19.pdf
Supplementary Document
AQ45(IF) CLEAN PRA Supporting Statement with VA responses to OMB's passback 4 (5-7-19).docx
Supporting Statement A
Provider Dispute Notice
Discontinuation Notice for Provider
Certification of Provider Licensure
All Historical Document Collections
201903-2900-022
Approved without change
New collection (Request for a new OMB Control Number)
2019-08-30
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