Information Collection Request
Foreign Medical Program (FMP) Registration Form and Claim Cover Sheet
ICR 202310-2900-003 · OMB 2900-0648 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 10-7959f-1 Foreign Medical Program Application and Claim Cover Sheet |
Form | Modified | Repair queued |
 30-Day FRN_2900-0648_FMP Registration Form and Claim Cover Sheet_published 12282023.pdf |
Supplementary Document | Uploaded 2024-01-31 | Repair queued |
 PO Response to Public Comment_OMB Control No. 2900-0648_FMP Registration and Claim Cover Sheet_12212023.docx |
Supplementary Document | Uploaded 2023-12-21 | Missing upstream |
| 60-Day FRN_2900-0648_FMP Registration Form and Claim Cover Sheet_published 10232023.pdf |
Supplementary Document | Uploaded 2023-10-24 | Repair queued |
| Supporting Stmt A_2900-0648_FMP Registration Form and Claim Cover Sheet_updated Jan 2024.docx |
Supporting Statement A | Uploaded 2024-01-31 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 28924 |  Foreign Medical Program Application and Claim Cover Sheet |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | VA |
| OMB Control No | 2900-0648 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 201911-2900-005 |
| Agency Tracking No | 2900-0648 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |