OMB control number
Request for Payment of Bowel and Bladder Services
OMB 2900-0924 ยท VA.
OMB 2900-0924
Legal authority for this information collection is found in 38 U.S.C., Chapter 17, for Veterans seeking health care services. Data collected may be used to establish, determine, and monitor eligibility to receive VA benefits and for authorizing and paying Non-VA healthcare services furnished to Veterans and beneficiaries. VA Form 10-314 will be required to request reimbursement for bowel and bladder care services. The form is used to list the dates and times the care was rendered to the Veteran and is then submitted monthly to VA to request payment for those services.
The latest form for Request for Payment of Bowel and Bladder Services expires 2026-04-30 and is listed under ICR 202207-2900-006.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form 10-314 Request for Payment of Bowel and Bladder Services | Form |
| 30-Day FRN_2900-0924_Req for Paymt of Bowel & Bladder Serv_10-314_pub 08052026.pdf | Supplementary Document |
| 60-Day FRN_2900-0924_Req for Paymt of Bowel & Bladder Serv_10-314_pub 05132026.pdf | Supplementary Document |
 SSA_2900-0924_Req for Paymt of Bowel and Bladder Services_10-314_updated Aug 2026.docx | Supporting Statement A |
 VA Form 10-314 - Request for Payment of Bowel and Bladder Services |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202602-2900-011 | Reinstatement with change of a previously approved collection | 2026-08-06 | ||
| 202207-2900-006 | New collection (Request for a new OMB Control Number) | 2023-03-01 | Approved with change |