Information Collection Request

Applications & Appraisals for Title 38 Health Care Positions and Trainees

ICR 202301-2900-008 · OMB 2900-0205 · Received in OIRA

Forms and Documents

Document Name	Status
Form 10-2850e Appraisal of Applicant - VA Form 10-2850e Form and Instruction	New
Form 10-2850c Application for Associated Health Occupations - VA Form 10-2850c Form and Instruction	New
Form 10-2850a Application for Nurses and Nurse Anesthetists - VA Form 10-2850a Form and Instruction	New
Form 10-2850 Application for Physicians, Dentists, Podiatrists, Optometrists and Chiropractors - VA Form 10-2850 Form and Instruction	New
Form 10-2850d Health Professions Trainee Data Collection Form - VA Form 2850d Form and Instruction	Modified
30-Day FRN_2900-0205_Applications and Appraisals for Titles 38 Health Care Positions and Trainees_published 04072023.pdf Supplementary Document	2023-04-10
60-Day FRN_2900-0205_Applications and Appraisals for Titles 38 Health Care Positions and Trainees_published 01202023.pdf Supplementary Document	2023-02-24
Supporting Statement A_2900-0205_Applications & Appraisals for Title 38 Health Care Positions & Trainees_updated Apr 2023.docx Supporting Statement A	2023-04-10

IC Document Collections

IC ID	Document Title	Status
257919	Appraisal of Applicant - VA Form 10-2850e Form and Instruction	New
257918	Application for Associated Health Occupations - VA Form 10-2850c Form and Instruction	New
257917	Application for Nurses and Nurse Anesthetists - VA Form 10-2850a Form and Instruction	New
257916	Application for Physicians, Dentists, Podiatrists, Optometrists and Chiropractors - VA Form 10-2850 Form and Instruction	New
235698	Health Professions Trainee Data Collection Form - VA Form 2850d Form and Instruction	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	VA
OMB Control No	2900-0205
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	201904-2900-002
Agency Tracking No	2900-0205
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31