Information Collection Request
Application for Extended Care Services, VA Form 10-10EC
ICR 202412-2900-007 · OMB 2900-0629 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 10-10EC Application for Extended Care Services |
Form and Instruction | Modified | Missing upstream |
 30-day FRN_Extended Care Services_VA Form 10-10EC_2900-0629_published 04182025.pdf |
Supplementary Document | Uploaded 2025-04-18 | Repair queued |
| 60-day FRN_Extended Care Services_VA Form 10-10EC_2900-0629_published 12262024.pdf |
Supplementary Document | Uploaded 2025-02-25 | Missing upstream |
 SSA_2900-0629_Application for Extended Care Services_10-10EC_updated Apr 2025.docx |
Supporting Statement A | Uploaded 2025-04-18 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 28899 |  Application for Extended Care Services |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0629 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202107-2900-006 |
| Agency Tracking No | 2900-0629 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |