Information Collection Request
Copayment Exemption for Indian Veterans (AR48) - Documentation of Indian or Urban Indian Status
ICR 202303-2900-008 · OMB 2900-0920 · Active
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Supporting Statement A | 2023-04-04 |
Form 10-334 Documentation of Indian or Urban Indian Status for Veteran Copayment Exemption
SSA_2900-0920_AR48 - Copayment Exemption for Indian Veterans - Tribal Documentation of Indian or Urban Indian Status_updated Apr 2023.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 257252 | Modified |
Documentation of Indian or Urban Indian Status for Veteran Copayment ExemptionICR Details
| Status | Active |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0920 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Previous ICR Reference No | 202212-2900-002 |
| Agency Tracking No | 2900-0920 |
| Date Submitted to OIRA | 2023-04-04 |
| Requested Expiration Date | 1969-12-31 |