Title 38 Health Care Positions - Trainee Application & Appraisal

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10-2850e Appraisal of Applicant	Form and Instruction	Modified	Available
Form 10-2850c Application for Associated Health Occupations	Form and Instruction	Removed	Available
Form 10-2850a Application for Nurses and Nurse Anesthetists - VA Form 10-2850a	Form and Instruction	Removed	Available
Form 10-2850 Application for Physicians, Dentists, Podiatrists, Optometrists and Chiropractors - VA Form 10-2850	Form and Instruction	Removed	Available
Form 10-2850d Health Professions Trainee Data Collection Form	Form and Instruction	Modified	Available
30-day FRN_2900-0205_Title 38 HC Positions-Trainee Applic and Appraisal_pub 09102026.pdf	Supplementary Document	Uploaded 2026-09-10	Available
60-day FRN_2900-0205_Title 38 HC Positions-Trainee Applic and Appraisal_pub 06292026.pdf	Supplementary Document	Uploaded 2026-06-30	Available
SSA_2900-0205_Title 38 HC Positions-Trainee Applic and Appraisal_updated Sep 2026.docx	Supporting Statement A	Uploaded 2026-09-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
257919	Appraisal of Applicant	Form and Instruction	Modified	Appraisal of Applicant
257918	Application for Associated Health Occupations - VA Form 10-2850c	Form and Instruction	Removed	Application for Associated Health Occupations
257917	Application for Nurses and Nurse Anesthetists - VA Form 10-2850a	Form and Instruction	Removed	Application for Nurses and Nurse Anesthetists - VA Form 10-2850a
257916	Application for Physicians, Dentists, Podiatrists, Optometrists and Chiropractors - VA Form 10-2850	Form and Instruction	Removed	Application for Physicians, Dentists, Podiatrists, Optometrists and Chiropractors - VA Form 10-2850
235698	Health Professions Trainee Data Collection Form	Form and Instruction	Modified	Health Professions Trainee Data Collection Form

ICR Details

OMB Control No: 2900-0205	ICR Reference No: 202605-2900-001
Status: Received in OIRA	Previous ICR Reference No: 202301-2900-008
Agency/Subagency: VA	Agency Tracking No: VHA-2900-0205
Title: Title 38 Health Care Positions - Trainee Application & Appraisal
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/11/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	171,820	0
Time Burden (Hours)	85,910	0
Cost Burden (Dollars)	0	0

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Abstract: The collection of this information is authorized by Title 38 United States Code (U.S.C.) Section 7403, which provides that appointments of Title 38 positions will be made only after qualifications have been satisfactorily verified in accordance with regulations prescribed by the Secretary. Occupations listed in 38 U.S.C. 7401(1) and 7401(3) are appointed at a grade and step rate or an assignment based on careful evaluation of the trainee’s education and experience. Title 38 U.S.C. 7302 requires VA to assist in the training of health professionals for the agency’s own needs and for those of the nation. All health position trainee applicants must provide information concerning their background, training, and education, as well as previously held licenses/registrations, to determine if they meet requirements. Information provided is used to determine a trainee’s eligibility for employment and the appropriate grade and step rate or assignment. VA Form 10-2850d is used to collect appropriate information about qualifications for each trainee participating in accredited educational programs with VA. VA Form 10-2850e is the pre-employment reference form used to elicit information concerning the prior education and/or performance of the Title 38 applicant. This information collection is only for VA health position trainee applicants. VA Forms 10-2850, 10-2850a and 10-2850c have been discontinued and removed from the collection.

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Authorizing Statute(s): US Code: 38 USC 7401 (1),(3) Name of Law: Appointments in Veterans Health Administration
   US Code: 38 USC 7403 Name of Law: Veterans Benefits - Period of appointments; promotions
   US Code: 38 USC 7302 - Part V, Chapter 73 Name of Law: Healthcare Personnel Education and Training Program
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 39163	06/29/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 57693	09/10/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Application for Associated Health Occupations - VA Form 10-2850c	10-2850c	Application for Associated Health Occupations
Application for Nurses and Nurse Anesthetists - VA Form 10-2850a	10-2850a	Application for Nurses and Nurse Anesthetists - VA Form 10-2850a
Application for Physicians, Dentists, Podiatrists, Optometrists and Chiropractors - VA Form 10-2850	10-2850	Application for Physicians, Dentists, Podiatrists, Optometrists and Chiropractors - VA Form 10-2850
Appraisal of Applicant	10-2850e	Appraisal of Applicant
Health Professions Trainee Data Collection Form	10-2850d	Health Professions Trainee Data Collection Form

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	171,820	0	0	171,820	-102,143	102,143
Annual Time Burden (Hours)	85,910	0	0	85,910	-51,072	51,072
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is actually a decrease in the total estimated number of responses and burden hours based upon program data since the last PRA clearance, including the discontinuance and removal of three forms. This collection includes only forms 10-2850d and 10-2850e, which will be used for applicants for health care trainee positions. (However, as this is now a reinstatement, the respondent and burden hour numbers appear as an "increase.")

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Annual Cost to Federal Government: $8,645,576

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/11/2026

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