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State Home Inspection Staffing Profile
Per Diem to States for Care of Eligible Veterans in State Homes
OMB: 2900-0883
IC ID: 242721
OMB.report
VA
OMB 2900-0883
ICR 202306-2900-012
IC 242721
( )
Documents and Forms
Document Name
Document Type
Form 10-3567
State Home Inspection Staffing Profile
Form and Instruction
10-3567 State Home Inspection Staffing Profile
VA form 10-3567.pdf
www.va.gov/vaforms/
Form and Instruction
Information Collection (IC) Details
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