Prescription Authorization, Application, Procurement, Repair, and Loan of Prosthetic Items

Prescription Authorization, Application, Procurement, Repair, and Loan of Prosthetic Items

OMB: 2900-0188

IC ID: 28429

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Prescription Authorization, Application, Procurement, Repair, and Loan of Prosthetic Items
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VAF-10-2520 No No
Form VAF-10-2421 No No
Form FL-10-90 No No
Form FL-10-426 No No
Form VAF-10-2914 No No
Form VAF-10-1394 No No


    

512,844 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 512,844 0 0 0 0 512,844
Annual IC Time Burden (Hours) 36,496 0 0 0 0 36,496
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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