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10-10143b Submission of Medical Record Information under the Veterans Community Care Program

IC 213637 under ICR 202008-2900-001 · OMB 2900-0823.

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10-10143b Submission of Medical Record Information under the Veterans Community Care Program 2900-0823
 
No Modified
 
Required to Obtain or Retain Benefits
 
38 CFR 1730(b)  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

366,823 0
   
Private Sector Businesses or other for-profits
 
   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 12,471,982 0 0 0 12,471,982 0
Annual IC Time Burden (Hours) 1,039,332 0 0 0 1,039,332 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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