Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Updated VA Form 10-10EZ (2022) Modified 540000 315000 0 Form and Instruction 10-10EZ Application for Health Benefits
Form and Instruction 10-10EZ - revised Application for Health Benefits
Updated VA Form 10-10EZR (2022) Modified 859000 386550 0 Form and Instruction 10-10EZR Health Benefits Update Form
Form and Instruction 10-10EZR - revised Health Benefits Update Form
VA Form 10-10HS -- Request for Hardship Determination Unchanged 7000 1750 0 Form and Instruction 10-10HS VA Request for Hardship Determination
Total burden requested under this ICR: 1406000 703300 0  
To view an IC, click on IC Title