Information Collection Request
Foreign Medical Program (FMP) Registration Form and Claim Cover Sheet
ICR 202310-2900-003 · OMB 2900-0648 · Received in OIRA
Forms and Documents
Document Name | Status |
|---|---|
Form |
Modified |
Supplementary Document | 2024-01-31 |
Supplementary Document | 2023-12-21 |
Supplementary Document | 2023-10-24 |
Supporting Statement A | 2024-01-31 |
Form 10-7959f-1 Foreign Medical Program Application and Claim Cover Sheet
30-Day FRN_2900-0648_FMP Registration Form and Claim Cover Sheet_published 12282023.pdf
PO Response to Public Comment_OMB Control No. 2900-0648_FMP Registration and Claim Cover Sheet_12212023.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 28924 | Modified |
Foreign Medical Program Application and Claim Cover SheetICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0648 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 201911-2900-005 |
| Agency Tracking No | 2900-0648 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |