Application for Nurses and Nurse Anesthetists - VA Form 10-2850a

Applications & Appraisals for Title 38 Health Care Positions and Trainees

OMB: 2900-0205

IC ID: 257917

Information Collection (IC) Details

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Application for Nurses and Nurse Anesthetists - VA Form 10-2850a 2900-0205
 
Yes New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-2850a Application for Nurses and Nurse Anesthetists - VA Form 10-2850a VA Form 10-2850a.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

64,511 0
   
Individuals or Households
 
   50 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 64,511 0 64,511 0 0 0
Annual IC Time Burden (Hours) 32,256 0 32,256 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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