Information Collection

VA From 10-307: PCAFC Notice of Disagreement (NOD)

IC 249878 under ICR 202504-2900-008 · OMB 2900-0894.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-307 VA From 10-307: PCAFC Notice of Disagreement (NOD)	Form and Instruction
Form 10-307 PCAFC Notice of Disagreement (NOD) VA From 10-307: PCAFC Notice of Disagreement (NOD)	Form and Instruction
10-307 PCAFC Notice of Disagreement (NOD) VA Form 10-307.pdf	Form and Instruction
10-307 PCAFC Notice of Disagreement (NOD) VA Form 10-307.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

2900-0894

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 38 CFR 71

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-307				Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 85,540

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-85,540	85,540
Annual IC Time Burden (Hours)	-42,770	42,770
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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