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State Home Report and Statement of Federal Aid Claimed
State Home Programs for Veterans (VA Forms 10-5588, 10-5588A, 10-10SH) -- AR61
OMB: 2900-0160
IC ID: 237051
OMB.report
VA
OMB 2900-0160
ICR 202410-2900-027
IC 237051
( )
Documents and Forms
Document Name
Document Type
Form 10-5588
State Home Report and Statement of Federal Aid Claimed
Form
10-5588 State Home Report and Statement of Federal Aid Claimed
VA Form 10-5588.pdf
www.va.gov/vaforms/
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
State Home Report and Statement of Federal Aid Claimed
Agency IC Tracking Number:
2900-0160
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
38 CFR 52
38 CFR 51
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
10-5588
State Home Report and Statement of Federal Aid Claimed
VA Form 10-5588.pdf
http://www.va.gov/vaforms/
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
139
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
1,668
0
0
0
0
1,668
Annual IC Time Burden (Hours)
834
0
0
0
0
834
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
