Revisions to VA form 10-5588

2900-0160 Supplementary.doc

Title 38, Parts 51 and 52, State Home Programs

Revisions to VA form 10-5588

OMB: 2900-0160

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Subj.: VA is requesting inclusion of revised VA form 10-5588, State Home Report and Statement of Federal Aid Claimed.

The updated version VA Form 10-5588 form was submitted in the proposed rule; however, the form was not provided to the ICR coordinator for inclusion in the approval. VHA inadvertently requested approval for an old version of VA Form 10-5588. Following OMB’s approval of associated rule making for 2900-AM97, there were two other revisions to the form due to a change in requirements by law for state homes operating beds that was just issued-- 38 CFR 51.43(c). VHA is requesting approval on the revised form. The minor revisions do not affect the burden hour.



Revisions to VA Form 10-5588:


  1. Page 3, line 4 – deleted text “..of more than 96 hours

  2. Page 5, paragraph beginning with I certify that this report is correct,
    – deleted text ”..
    of 96 hours or less”.


File Typeapplication/msword
File TitleDepartment of Veterans Affairs
AuthorKaren Guice, MD, MPP
Last Modified BySchmidt_A
File Modified2009-08-06
File Created2009-08-06

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