The Veterans Affairs Credentialing and Privileging Office of Quality and Performance requests inclusion of this letter and release of information form (FL 10-490) to the OMB approved information collection for 2900-0621 (National Practitioner Data Bank (NPDB)). This particular verification information is currently being collected under this OMB number and the attached form would be presented as a supplemental written verification of said information collections to the Medical, Dental, and Nursing licensing boards.
| File Type | application/msword |
| File Title | Department of Veterans Affairs |
| Author | Karen Guice, MD, MPP |
| File Modified | 2009-05-13 |
| File Created | 2009-05-13 |