Information Collection Request

Program of Comprehensive Assistance for Family Caregivers - Improvements and Amendments Under the VA MISSION Act of 2018 (VA Form 10-10CG)

ICR 202007-2900-002 · OMB 2900-0768 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form VA Form 10-10CG Application for Comprehensive Assistance for Family Caregivers Program Form and Instruction Modified Available
60-day FRN_PCAFC-10-10CG_AQ48_published 071520.pdf Supplementary Document Uploaded 2020-08-07 Repair queued
Acting COS signed on 7-13-2020 VIEWS # 03156552.pdf Supplementary Document Uploaded 2020-07-13 Available
Supp Stmnt A_PCAFC-MISSION Act Amend_Form 10-10CG_AQ48_revised July 2020.docx Supporting Statement A Uploaded 2020-08-07 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
242673 Notification of Veteran Change of Address New
197562 Application for Comprehensive Assistance for Family Caregivers Program Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2021 6 Months From Approved 09/30/2021
66,026 0 16,500
16,236 0 4,125
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Notification of Veteran Change of Address
Application for Comprehensive Assistance for Family Caregivers Program VA Form 10-10CG Application for the Program of Comprehensive Assistance for Family Caregivers

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 66,026 16,500 0 49,526 0 0
Annual Time Burden (Hours) 16,236 4,125 0 12,111 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No