Information Collection

VA Form 10-306: Request for Information About PCAFC Decisions

IC 249877 under ICR 202202-2900-004 · OMB 2900-0894.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0894 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-306 VA Form 10-306: Request for Information About PCAFC Decisions	Form and Instruction
Form 10-306 Request for Information About PCAFC Decisions VA Form 10-306: Request for Information About PCAFC Decisions	Form and Instruction
10-306 Request for Information About PCAFC Decisions VA Form 10-306.pdf	Form and Instruction
10-306 Request for Information About PCAFC Decisions VA Form 10-306.pdf	Form and Instruction

IC Title:

VA Form 10-306: Request for Information About PCAFC Decisions

Agency IC Tracking Number:

2900-0894

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 71

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-306				Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 182,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	182,000	182,000
Annual IC Time Burden (Hours)	45,500	45,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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