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 202011-2900-008 · OMB 2900-0768 · Received in OIRA

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 Repair queued
30-day FRN_2900-0768_Prog of Comprehensive Assist to Caregivers_10-10CG_published 02262021.pdf Supplementary Document Uploaded 2021-02-26 Repair queued
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 Repair queued
Supp Stmnt A_PCAFC-MISSION Act Amend_Form 10-10CG_AQ48_updated Feb 2021.docx Supporting Statement A Uploaded 2021-02-26 Repair queued

IC Document Collections

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

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 02/28/2021
66,026 66,026
16,236 16,236
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 Request 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 66,026 0 0 0 0
Annual Time Burden (Hours) 16,236 16,236 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No