OMB control number
Expanded Access to Non-VA Care through the MISSION Program: Establishing a Process for Certification, Discontinuance, and Disputes for Veterans Care Agreements (VCAs) - AQ45
OMB 2900-0872 ยท VA.
OMB 2900-0872
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 AQ45_VCA Process_Emergency Clearance Request Memo_SES Signature_08.29.19.pdf | Supplementary Document |
 AQ45(IF) CLEAN PRA Supporting Statement with VA responses to OMB's passback 4 (5-7-19).docx | Supporting Statement A |
 Provider Dispute Notice |
Information collection |
| Discontinuation Notice for Provider |
Information collection |
| Certification of Provider Licensure |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201903-2900-022 | New collection (Request for a new OMB Control Number) | 2019-08-30 | Approved without change |