OMB control number
Community Residential Care (CRC) Program - Recordkeeping, Incident Reporting, Applications
OMB 2900-0491 ยท VA.
VA is authorized under 38 U.S.C. 1730 to assist veterans by referring them for placement, and aiding veterans in obtaining placement, in Community Residential Care (CRC) facilities, which include Medical Foster Homes (MFHs). One of the standards a CRC facility must meet is the requirement to maintain records on each resident in a secure place. Under 38 CFR 17.63(i), facility records must include emergency notification procedures and a copy of all signed agreements with the resident. These records must be maintained by the CRC facility, and the CRC facility must make those records available for VA inspection upon request. An MFH is a subtype of CRC and, under 38 CFR 17.74(q), is required to comply with the recordkeeping requirements of 38 CFR 17.63(i). In addition, the CRC facility must maintain and make available, upon request of the approving official, records related to CRC staff requirements and provide that the CRC facility has sufficient, qualified staff on duty and available to care for the resident and ensure the health and safety of each resident. VA is adding to this collection the requirement under 38 CFR 17.63(j)(3) that CRC facilities report alleged violations involving mistreatment, neglect, or abuse of a veteran to the approving official. VA requires the CRC facility to document and investigate evidence of an alleged violation, including misappropriation of resident property. VA views the reporting, documenting, and investigating of an alleged incident and the subsequent report of the results of the investigation to be one collection of information. VA Forms 10-2407 and 10-387 also are being included in this collection. The 10-2407 form is the CRC application used by residential care home sponsors seeking VA approval to provide care to veterans. The 10-387 form is the MFH application used by medical foster home caregivers seeking VA approval to provide care to veterans. The applicants supply references and agree to a VA inspection of the home, a monthly rate, and compliance with other VA standards for residential care. This information is collected under the authority of 38 U.S.C. 1720 and 38 U.S.C.1730.
The latest form for Community Residential Care (CRC) Program - Recordkeeping, Incident Reporting, Applications expires 2028-01-31 and can be found here.
Document Name |
|---|
Form and Instruction |
Form and Instruction |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
| Reinstatement with change of a previously approved collection | 2024-12-13 | ||
|
Approved without change |
Reinstatement without change of a previously approved collection | 2021-10-29 | |
|
Approved without change |
Reinstatement with change of a previously approved collection | 2018-02-15 | |
|
Approved without change |
New collection (Request for a new OMB Control Number) | 1988-04-26 |
Community Residential Care Recordkeeping
Federal Enterprise Architecture: Health - Health Care Services