Non-sub Change Memo - Spanish 10-10EZ

20180614 Non Substantive Change Memo - 10-10EZ Spanish Version.pdf

Application and Renewal for Health Benefits

Non-sub Change Memo - Spanish 10-10EZ

OMB: 2900-0091

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Department of
Veterans Affairs

Memorandum

Date:

June 14, 2018

From:

Acting Director, Health Eligibility Center (HEC),

Subject:

Non Substantive Change for OMB Control 2900-0091

To:

VA Desk Officer, Office of Management & Budget (OMB)
VA Clearance Officer, Cynthia Harvey-Pryor, Department Clearance Officer

Cc:

Office of Quality, Privacy and Risk (OQPR)
1. See the following updated, additional information and new information for OMB Control
2900-0091:
a. Updates: This non-substantive change reflects no increase in respondent burden hours
but will create ease for Veterans submitting information for timely care using a Spanish
Language 10-10EZ. There were no changes made to the justification statement(s) A and/or B,
only a translation to Spanish of VA Form Apr 2017 10-10EZ, OMB Approved No. 2900-0091.
b. Supplementary Documents: No additional documents added.
c. New Information: There is no new information associated with the collection.

LeRoy F. Garcia


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File Modified2018-07-10
File Created2018-07-10

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