PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Nation-wide Customer Satisfaction Surveys
Modified
511000
104900
0
Form and Instruction
VA Form 10-1465-1
SHEP InPatient Long Form 10-1465-1
Form and Instruction
VA Form 10-1465-2
SHEP InPatient Short Form 10-1465-2
Form and Instruction
VA Form 10-1465-3
SHEP OutPatient Long Form 10-1465-3
Form and Instruction
VA Form 10-1465-4
SHEP OutPatient Short Form 10-1465-4
Form and Instruction
VA Form 10-1465-5
SHEP Patient Centered Medical Homes (PCMH) Short Form 10-1465-5
Form and Instruction
VA Form 10-1465-6
SHEP Patient Centered Medical Homes (PCMH) Long Form 10-1465-6
Form and Instruction
VA Form 10-1465-7
SHEP Home Healthcare CAHPS Long Form 10-1465-7
Form and Instruction
VA Form 10-1465-8
SHEP In-Center Hemodialysis (ICHemo) Long Form 10-1465-8
Total burden requested under this ICR:
511000
104900
0
To view an IC, click on IC Title
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