Information Collection Request

Program of Comprehensive Assistance for Family Caregivers (PCAFC) Decision Appeal Form

ICR 202504-2900-008 · OMB 2900-0894 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 10-307 PCAFC Notice of Disagreement (NOD) Form and Instruction Removed Available
Form 10-307 VA From 10-307: PCAFC Notice of Disagreement (NOD) Form and Instruction Removed Missing upstream
Form 10-306 Request for Information About PCAFC Decisions Form and Instruction Modified Available
Form 10-306 VA Form 10-306: Request for Information About PCAFC Decisions Form and Instruction Modified Repair queued
Response to 30-day Public Comment_2900-0894_PCAFC Decision Appeal Form (10-306)_08122025.docx Supplementary Document Uploaded 2025-08-19 Repair queued
VA-2025-VACO-0001-0064.pdf Public Comments Uploaded 2025-07-27 Repair queued
30-day FRN_2900-0894_PCAFC Decision Appeal Form_10-306_published 07252025.pdf Supplementary Document Uploaded 2025-07-25 Available
30-day FRN_2900-0894_PCAFC Decision Appeal Form_10-306_published 07252025.pdf Supplementary Document Uploaded 2025-07-25 Repair queued
Response to Public Comment_2900-0894_PCAFC Decision Appeal Form (10-306)_07232025.docx Supplementary Document Uploaded 2025-07-24 Repair queued
Response to Public Comment_2900-0894_PCAFC Decision Appeal Form (10-306)_07232025.docx Supplementary Document Uploaded 2025-07-24 Repair queued
VA-2025-VACO-0001-0049-A3.pdf Public Comments Uploaded 2025-07-10 Repair queued
VA-2025-VACO-0001-0049-A2.pdf Public Comments Uploaded 2025-07-10 Repair queued
VA-2025-VACO-0001-0049-A1.pdf Public Comments Uploaded 2025-07-10 Repair queued
VA-2025-VACO-0001-0049.pdf Public Comments Uploaded 2025-07-10 Repair queued
Response to Public Comment_2900-0894_PCAFC Decision Appeal Form (10-306)_06022025.docx Supplementary Document Uploaded 2025-06-04 Repair queued
Response to Public Comment_2900-0894_PCAFC Decision Appeal Form (10-306)_06022025.docx Supplementary Document Uploaded 2025-06-04 Repair queued
VA-2025-VACO-0001-0020.pdf Public Comments Uploaded 2025-05-23 Repair queued
60-day FRN_2900-0894_PCAFC Decision Appeal Form_10-306_published 05232025.pdf Supplementary Document Uploaded 2025-05-27 Repair queued
60-day FRN_2900-0894_PCAFC Decision Appeal Form_10-306_published 05232025.pdf Supplementary Document Uploaded 2025-05-27 Repair queued
SSA_2900-0894_PCAFC Decision Appeal Form_10-306_updated Jul 2025.docx Supporting Statement A Uploaded 2025-07-25 Repair queued
SSA_2900-0894_PCAFC Decision Appeal Form_10-306_updated Jul 2025.docx Supporting Statement A Uploaded 2025-07-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
249878 VA From 10-307: PCAFC Notice of Disagreement (NOD) Form and Instruction RemovedPCAFC Notice of Disagreement (NOD)
249878 VA From 10-307: PCAFC Notice of Disagreement (NOD) Form and Instruction Removed
249877 VA Form 10-306: Request for Information About PCAFC Decisions Form and Instruction ModifiedRequest for Information About PCAFC Decisions
249877 VA Form 10-306: Request for Information About PCAFC Decisions Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2028 36 Months From Approved 08/31/2025
50,000 0 267,540
12,500 0 88,270
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
VA Form 10-306: Request for Information About PCAFC Decisions 10-306
VA From 10-307: PCAFC Notice of Disagreement (NOD) 10-307

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 50,000 267,540 0 -217,540 0 0
Annual Time Burden (Hours) 12,500 88,270 0 -75,770 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No