Information Collection

Veteran Reimbursement Claim Form

IC 262985 under ICR 202310-2900-005 · OMB 2900-0940.

Documents and Forms

Document Name Document Type
Form 10-320 Veteran Reimbursement Claim Form Form and Instruction
10-320 Veteran Reimbursement Claim Form VA Form 10-320_updated Sep 2023.pdf Form and Instruction
10-320 Veteran Reimbursement Claim Form VA Form 10-320 2024-03-27.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Veteran Reimbursement Claim Form	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:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-320	Veteran Reimbursement Claim Form	VA Form 10-320 2024-03-27.pdf		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 85,700	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	85,700	85,700
Annual IC Time Burden (Hours)	14,283	14,283
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.