Agency Information Collection Activity Under OMB Review: Application for Extended Care Services
Notice.
Citation: "83 FR 18879"
Document Number: "OMB Control No. 2900-0629"
Page Number: "18879"
"Notices"
SUMMARY: In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the
DATES: Comments must be submitted on or before
ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to
FOR FURTHER INFORMATION CONTACT:
SUPPLEMENTARY INFORMATION:
Authority: 38 U.S.C. 1705, 1710B, 1722A, 1729.
Title: Application for Extended Care Services.
OMB Control Number: 2900-0629.
Type of Review: Renewal of a currently approved collection.
Abstract: Title 38
VA Form 10-10EC, Application for Extended Care Services, is used to collect financial information necessary to determine a Veteran's copayment obligation for extended care services, also known as long term care (LTC).
An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The Federal Register Notice with a 60-day comment period soliciting comments on this collection of information was published at 82 FR 55490 on
Affected Public: Individuals and households.
Estimated Annual Burden: 3,000 hours.
Estimated Average Burden per Respondent: 90 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents: 2,000.
By direction of the Secretary.
Department Clearance Officer,
[FR Doc. 2018-09052 Filed 4-27-18;
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