OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 257917 under ICR 202301-2900-008 · OMB 2900-0205.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

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

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.