Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Applications & Appraisals for Employment for Title 38 Positions and Trainees
Agency IC Tracking Number:
2900-0205
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
VA Form 10-2850
APPLICATION FOR PHYSICIANS, DENTISTS, PODIATRISTS, OPTOMETRISTS AND CHIROPRACTORS
10-2850 rev.pdf
http://vaww.va.gov/vaforms/medical/pdf/vha-10-2850-fill.pdf
Yes
No
Fillable Printable
Form and Instruction
VA Form 10-2850C
APPLICATION FOR ASSOCIATED HEALTH OCCUPATIONS
10-2850c rev.pdf
http://vaww.va.gov/vaforms/medical/pdf/vha-10-2850c-fill.pdf
Yes
No
Fillable Printable
Form and Instruction
VA Form 10-2850d
Application for Health Professions Trainees
10-2850d Fill (2).pdf
http://vaww.va.gov/vaforms/medical/pdf/vha-10-2850d-fill.pdf
Yes
No
Fillable Printable
Form and Instruction
VA FL 10-341(a)
Employment Reference for Title 38 Employee
VA FL-10-341a.pdf
http://vaww.va.gov/vaforms/medical/pdf/vha-FL-10-341a-fill.pdf
Yes
No
Fillable Printable
Form and Instruction
VA FL 10-341(b)
Trainee Qualification and Credentials Verification Letter (TQCVL)
VA FL 10-341b.pdf
http://vaww.va.gov/vaforms/medical/pdf/vha-FL-10-341b-fill.pdf
Yes
No
Fillable Printable
Form and Instruction
VA Form 10-2850a
APPLICATION FOR NURSES AND NURSE ANESTHETISTS
10-2850a rev.pdf
http://vaww.va.gov/vaforms/medical/pdf/vha-10-2850a-fill.pdf
Yes
No
Fillable Printable
Form and Instruction
VA form 10-2850b
Application for Residents
10-2850b rev.pdf
http://vaww.va.gov/vaforms/medical/pdf/vha-10-2850b-fill.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Personnel
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
412,787
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
412,787
0
0
85,739
0
327,048
Annual IC Time Burden (Hours)
153,833
0
0
23,861
0
129,972
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.