ICR Documents

Supporting Statement A Document Date Uploaded 092815_Supporting Statements - v19 - Updated Estimates.docx 09/28/2015 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Emergency Justification Emergency Clearance Request - v2 - KLP Edits - 102714.docx Supplementary Document 10/27/2014 VA Form 10-10143 Screenshot VA Form 10-10143 - HealthNet Call Script (Non-VA Election Document).pdf Supplementary Document 08/17/2015 VA Form 10-10143 Screenshot VA Form 10-10143 - TriWest Call Script (Non-VA Election Document).pdf Supplementary Document 08/17/2015 VA Form 10-10143b Word Document VA Form 10-10143b (Statement Question #1c on Documentation - HealthNet).msg.docx Supplementary Document 08/17/2015 VA Form 10-10143b Screenshot VA Form 10-10143b (Statement Question #1c on Documentation - TriWest).msg.PNG Supplementary Document 08/17/2015 VA Form 10-10143c Screenshot VA Form 10-10143c (Statement Question # 1d on Credentialing).jpg Supplementary Document 08/17/2015 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received