OMB control number
Camp Lejeune Family Member Program - Reimbursement of Certain Medical Expenses
OMB 2900-0822 · VA.
Under 38 U.S.C. 1787, VA is required to furnish hospital care and medical services to the family members of certain veterans who were stationed at Camp Lejeune between 1953 and 1987. In order to furnish such care, VA must collect necessary information from the family members to ensure that they meet the requirements of the law. The specific hospital care and medical services that VA must provide are for a number of illnesses and conditions connected to exposure to contaminated drinking water while at Camp Lejeune. VA will furnish Camp Lejeune family members with hospital care and medical services for 15 illnesses and conditions that are life threatening and require immediate medical intervention. The forms in this collection will be used to determine eligibility and reimbursement for this medical care. Some minor changes to the wording in VA Form 10-10068b have been made to clarify the information being collected from the treating physician. Also, VA Form 10-10068b may now be used up to two times annually per patient, and there is an associated increase in the estimated burden hours.
The latest form for Camp Lejeune Family Member Program - Reimbursement of Certain Medical Expenses expires 2028-09-30 and can be found here.
Document Name |
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Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Supplementary Document |
Supplementary Document |
Supporting Statement A |
Form 10-10068c Camp Lejeune Family Member Program - Information Update Form
30-day FRN_2900-0822_Camp Lejeune Family Member Program_pub 08012025.pdf
SSA_2900-0822_Camp Lejeune Family Member Prog - Reimb of Medical Exp _updated Aug 2025.docx
Camp Lejeune Family Member Program - Information Update Form | Revision of a currently approved collection | 2025-08-01 | ||
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Approved without change |
Reinstatement without change of a previously approved collection | 2022-07-20 | |
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Approved without change |
Reinstatement with change of a previously approved collection | 2015-05-18 | |
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Approved with change |
New collection (Request for a new OMB Control Number) | 2014-03-26 |
Camp Lejeune Family Member Program - Application
Federal Enterprise Architecture: Health - Health Care Services
| Form 10-10068 | Camp Lejeune Family Member Program - Application | Fillable Printable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.