Revised VA Form 10-8678

10-86781 83C justification.doc

Application for Annual Clothing Allowance Under 38 U.S.C. 1162

Revised VA Form 10-8678

OMB: 2900-0198

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Department of Veterans Affairs
Veterans Health Administration (VHA)


Date: July 14, 2009 update to a current date

From: VHA OMB Clearance Liaison (19E1)

Subj.: Request for approval and inclusion of minor revisions to OMB approved collections 2900-0198. The revisions create no changes to the burden hours for this information collection.



Revisions/updates to OMB approved collection 2900-0198


VA Form 10-8678 - Application for Clothing Allowance


  1. Removed the field for “VA claim file number”. 

  2. Question number 5 was added.

  3. Question number 7 was update to include a telephone number

  4. Added question, “When should I expect a payment.”

  5. Number 13b and 14b were removed.


File Typeapplication/msword
File TitleDepartment of Veterans Affairs
AuthorKaren Guice, MD, MPP
File Modified2009-09-22
File Created2009-09-22

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