OMB control number
Program of Comprehensive Assistance for Family Caregivers (PCAFC) - AR96
OMB 2900-0768 · VA.
Public Law (P.L.) 111-163, Caregivers and Veterans Omnibus Health Services Act of 2010 amended title 38 United States Code Chapter 17 by adding a new section, 1720G, “Assistance and Support Services for Caregivers.” Section 1720G required the Department of Veterans Affairs (VA) to develop a Program of Comprehensive Assistance for Family Caregivers and Support Services. Under the law, Primary Family Caregivers may be eligible to receive a stipend, access to health care coverage, mental health counseling, comprehensive caregiver education and training, and expanded respite services. Caregivers also may be eligible for travel benefits when they accompany the Veteran for care or attending training. In order to administer these benefits to caregivers, it is necessary that the VA receive information about the nature of benefit being sought and the persons who will be serving as caregivers and receiving benefits. This information is collected with VA Form 10-10CG. VA requests a three-year renewal of the PRA clearance for 10-10CG from OMB to continue with the collection of this information, which is necessary to administer VA's Program of Comprehensive Assistance for Family Caregivers (PCAFC).
The latest form for Program of Comprehensive Assistance for Family Caregivers (PCAFC) - AR96 expires 2027-01-31 and can be found here.
Document Name |
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Form and Instruction |
Supporting Statement A |
Form VA Form 10-10CG Application for Comprehensive Assistance for Family Caregivers Program
SSA_2900-0768_PCAFC_AR96(P)_updated Dec 2024.docx
Requests for Discharge | Revision of a currently approved collection | 2024-12-06 | ||
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Approved without change |
Revision of a currently approved collection | 2023-12-06 | |
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Approved with change |
Revision of a currently approved collection | 2021-02-26 | |
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Approved without change |
Revision of a currently approved collection | 2020-08-07 | |
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Approved with change |
Reinstatement with change of a previously approved collection | 2020-01-28 | |
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Approved without change |
Revision of a currently approved collection | 2015-02-17 | |
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Approved without change |
Extension without change of a currently approved collection | 2011-09-23 | |
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Approved without change |
Revision of a currently approved collection | 2011-05-05 | |
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Preapproved |
New collection (Request for a new OMB Control Number) | 2011-05-03 |
Application for Comprehensive Assistance for Family Caregivers Program
Federal Enterprise Architecture: Health - Health Care Services
| Form VA Form 10-10CG | Application for the Program of Comprehensive Assistance for Family Caregivers | www.va.gov/vaforms/medical/pdf/10-10CG.pdf | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.