Information Collection Request
VA Health Benefits: Application, Update, Hardship Determination - VA Forms 10-10EZ,10-10EZR, 10-10HS
ICR 202504-2900-005 · OMB 2900-0091 · Active
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Form and Instruction |
Unchanged |
Justification for No Material/Nonsubstantive Change | 2025-04-24 |
Supplementary Document | 2024-06-03 |
Supplementary Document | 2024-04-26 |
Supporting Statement A | 2025-04-08 |
Form 10-10EZR VA Form 10-10EZR
2900-0091_White Paper_Non-Substantive Change Request_VA Health Benefits Forms_04182025.docx
30-Day FRN_2900-0091_VA Health Benefits - Application Update Hardship Determ_10-10EZ 10-10EZR 10-10HS_pub 06032024.pdfIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 256200 | Modified | ||
| 256198 | Modified | ||
| 244175 | Unchanged |
VA Form 10-10EZRICR Details
| Status | Active |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0091 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202403-2900-006 |
| Agency Tracking No | 2900-0091 |
| Date Submitted to OIRA | 2025-04-24 |
| Requested Expiration Date | 1969-12-31 |