Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application and Renewal for Health Benefits Modified 1017000 455750 0 Form VA form 10-10EZ Application for Health Benefits
Form and Instruction VA Form 10-10HS Request for Hardship Determination
Form VA Form 10-10EZR Health Benefits Renewal Form
Total burden requested under this ICR: 1017000 455750 0  
To view an IC, click on IC Title