Memo Request to Discontinue VA Form

Memo Request to Discontinue VA Form.docx

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Memo Request to Discontinue VA Form

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Department of
Veterans Affairs

Memorandum


Date:


October 18, 2013


From:

PRA Compliance Liaison, Veterans Health Administration (10B4)


Subject:

Request to Discontinue VA Forms: 10-2511. 10-583, and 10-7078


To:

VA Desk Officer, Office of Management & Budget (OMB)


Cc:

VA Clearance Officer, Crystal Rennie (OI&T- 005R1B)




The burden hour decrease is as a result agency discretion:


  1. VA Form 10-2511: Applicant signature is not collected on VA Form 10-2511 when processing payment for ambulance or other hired vehicle for transportation of beneficiaries. For internal use only. No respondent burden hours apply.


  1. VA Form 10-583: The form is no longer utilized. Health care billing forms CMS 1500/1450 have replaced form VA Form 10-583. No respondent burden hours apply.


  1. VA Form 10-7078: This form is for internal VA medical center staff use, only. No respondent burden hours apply.


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File Created2021-01-23

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