Copayment Exemption for Indian Veterans (AR48) - Documentation of Indian or Urban Indian Status

ICR 202303-2900-008

OMB: 2900-0920

Federal Form Document

Forms and Documents

Document Name	Status
Form 10-334 Documentation of Indian or Urban Indian Status for Veteran Copayment Exemption Form and Instruction	Modified
SSA_2900-0920_AR48 - Copayment Exemption for Indian Veterans - Tribal Documentation of Indian or Urban Indian Status_updated Apr 2023.docx Supporting Statement A	2023-04-04

IC Document Collections

IC ID	Document Title	Status
257252	Documentation of Indian or Urban Indian Status for Veteran Copayment Exemption Form and Instruction	Modified