ICR Documents

Supporting Statement A Document Date Uploaded 2900-0091_VA Health Benefits Forms_Supp Stmnt A_revised Feb 2021.docx 09/30/2022 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded 60-day FRN - VA Health Benefits: Application, Update, Hardship Determination - published 60 day FRN_2900-0091_Health Benefits Application Renewal Hardship Determ_10282020.pdf Supplementary Document 11/28/2020 30-day FRN - VA Health Benefits: Application, Update, Hardship Determination 30 day FRN_2900-0091_Health Benefits Application Renewal Hardship Determ_02122021.pdf Supplementary Document 02/17/2021 Electronic Version of Application 10_10EZ_screencapture_2021.pdf Supplementary Document 06/15/2021 Non-substantive Change Memorandum - 2900-0091 - VA Health Benefits Application & Update Forms - Sept 2022 2900-0091_Non-Substantive Change Memorandum_09272022.docx Justification for No Material/Nonsubstantive Change 09/29/2022 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received