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Agenda
Reg Review
ICR
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