Designee For Patient Personal Property

2900-AO41 DESIGNEE FOR PATIENT PERSONAL PROPERTY

OMB: 2900-0817

IC ID: 211131

Information Collection (IC) Details

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DESIGNEE FOR PATIENT PERSONAL PROPERTY
 
No New
 
Required to Obtain or Retain Benefits
 
38 CFR 5802

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-10118 DESIGNEE FOR PATIENT PERSONAL PROPERTY 10-10118 DESIGNEE FOR PATIENT PERSONAL PROPERTY 04-07-2014.pdf Yes No Fillable Printable

Health Health Care Services

 

718,000 0
   
Individuals or Households
 
   0 %

  Requested 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 718,000 0 718,000 0 0 0
Annual IC Time Burden (Hours) 35,900 0 35,900 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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