OMB control number

Applications & Appraisals for Title 38 Health Care Positions and Trainees

OMB 2900-0205 · VA.

OMB 2900-0205

The collection of this information is authorized by Title 38, United States Code (U.S.C.) 7403, (Veterans’ Benefits), which provides that appointments of Title 38 employees will be made only after qualifications have been satisfactorily verified in accordance with regulations prescribed by the Secretary. Occupations listed in 38 U.S.C. 7401(1) and 7401(3) (Appointments in Veterans Health Administration), are appointed at a grade and step rate or an assignment based on careful evaluation of their education and experience. VA Forms 10-2850, 10-2850a and 10-2850c are applications designed specifically to elicit appropriate information about each candidate's qualifications for employment with Department of Veterans Affairs (VA) as well as educational and experience. To assure that a full evaluation of each candidate's credentials can be made prior to employment, the forms require disclosure of details about all licenses ever held, Drug Enforcement Administration certification, board certification, clinical privileges, revoked certification or registration, liability insurance history, and involvement in malpractice proceedings. VA Form 10-2850d is used to collect appropriate information about qualifications for each trainee participating in accredited educational programs with VA. VA Form 10-2850e is the pre-employment reference form used to elicit information concerning the prior education and/or performance of the Title 38 applicant. Information provided is used to determine eligibility for employment and the appropriate grade and step rate or assignment.

The latest form for Applications & Appraisals for Title 38 Health Care Positions and Trainees expires 2026-05-31 and can be found here.

All Historical Document Collections
Approved with change
Extension without change of a currently approved collection 2023-04-10
Extension without change of a currently approved collection 2020-11-20
Approved with change
Reinstatement without change of a previously approved collection 2019-08-13
Approved without change
Revision of a currently approved collection 2015-08-28
Approved without change
Extension without change of a currently approved collection 2012-06-15
Approved without change
Extension without change of a currently approved collection 2009-04-28
Approved without change
Revision of a currently approved collection 2006-03-02
Approved without change
Extension without change of a currently approved collection 2003-01-24
Approved without change
Reinstatement without change of a previously approved collection 1999-12-06
Withdrawn
Reinstatement without change of a previously approved collection 1999-09-13
Approved without change
Reinstatement without change of a previously approved collection 1995-08-23
Approved without change
Reinstatement with change of a previously approved collection 1991-01-11
Approved without change
Reinstatement with change of a previously approved collection 1987-05-08
Approved with change
No material or nonsubstantive change to a currently approved collection 1982-10-01
Approved without change
Revision of a currently approved collection 1979-01-26
Approved without change
Revision of a currently approved collection 1977-07-26
Approved with change
No material or nonsubstantive change to a currently approved collection 1977-06-27
Approved with change
No material or nonsubstantive change to a currently approved collection 1977-01-24
OMB Details

Health Professions Trainee Data Collection Form - VA Form 2850d

Federal Enterprise Architecture: Health - Health Care Services

Form 10-2850dHealth Professions Trainee Data Collection Form - VA Form 10-2850dFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.