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Federal forms, ICRs, and supporting documents

Information Collection

Applications for Motor Vehicle Adaptive Equipment and HISA Services

IC 28432 under ICR 202402-2900-018 · OMB 2900-0188.

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Information Collection (IC) Details

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Applications for Motor Vehicle Adaptive Equipment and HISA Services 2900-0188
 
No Modified
 
Voluntary
 
38 CFR 17

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 10-0103 VETERANS APPLICATION FOR ASSISTANCE In Acquiring Home Improvement and Structural Alterations VA Form 10-0103_updated May 2024.pdf www.va.gov/vaforms Yes No Fillable Printable
Form 10-1394 APPLICATION FOR ADAPTIVE EQUIPMENT MOTOR VEHICLE VA Form 10-1394_updated May 2024.pdf www.va.gov/vaforms Yes No Fillable Printable

Health Health Care Services

 

21,000 1
   
Individuals or Households
 
   0 %

  Approved 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 21,000 0 -50,200 0 71,200 0
Annual IC Time Burden (Hours) 2,750 0 -2,988 0 5,738 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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