Information Collection Request
Copayment Exemption for Indian Veterans (AR48) - Documentation of Indian or Urban Indian Status
ICR 202303-2900-008 · OMB 2900-0920 · Active
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 10-334 Documentation of Indian or Urban Indian Status for Veteran Copayment Exemption |
Form and Instruction | Modified | Available |
 SSA_2900-0920_AR48 - Copayment Exemption for Indian Veterans - Tribal Documentation of Indian or Urban Indian Status_updated Apr 2023.docx |
Supporting Statement A | Uploaded 2023-04-04 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 257252 |  Documentation of Indian or Urban Indian Status for Veteran Copayment Exemption |
Form and Instruction | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0920 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Previous ICR Reference No | 202212-2900-002 |
| Agency Tracking No | 2900-0920 |
| Date Submitted to OIRA | 2023-04-04 |
| Requested Expiration Date | 1969-12-31 |