Information Collection

Reimbursement of Adoption Expenses for Certain Veterans

IC 226992 under ICR 202601-2900-004 · OMB 2900-0860.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-10152 Reimbursement Request for Qualifying Adoption Expenses Reimbursement of Adoption Expenses for Certain Veterans	Form
10-10152 Reimbursement Request for Qualifying Adoption Expenses VA Form 10-10152_updated Jan 2026.pdf	Form

IC Title:

Agency IC Tracking Number:

2900-0860

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	10-10152				Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Veterans and Beneficiaries Identification and Records Location Subsystem (38VA21)

FR Citation: 66 FR 30049

Number of Respondents: 80

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	480	480
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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