Veterans Health Administration White Paper
ICR 2900-0091 Non-Substantive Change
July 2014
Background
In compliance with the Paperwork Reduction Act of 1995, the Veterans Health Administration (VHA) submitted information collection request 2900-0091, Application and Renewal of Health Benefits, for OMB consideration. Submission package 2900-0091 includes forms that will be utilized in enrolling and updating the information of eligible Veterans seeking care within the Department of Veterans Affairs (VA) Healthcare System. Per recent review, VHA seeks to amend VA forms 10-10D through a non-substantive change.
Modification
The previously revised form utilized a prior document, rather than the 2010 year form. This newer edition form allows Veterans to indicate whether they have a third party insurance carrier. Similarly, we have made the same previous revisions to this form, adding the term “made knowingly”, to the declaration statement.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Manuel, Howard L. |
| File Modified | 0000-00-00 |
| File Created | 2021-01-26 |