Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Emergency Medicine Customer Satisfaction Survey New 208000 10400 0 Form and Instruction 2900-0876-002
Appeals Management Office Survey New 46800 2340 0 Form and Instruction AMO001
Board of Veterans Appeals Surveys New 54360 1812 0 Form and Instruction 2900-0876-Y1
Form and Instruction 2900-0876-Y2
Form and Instruction 2900-0876-Y3
Form and Instruction 2900-0876-Y4
COVID-19 Vaccine Acceptance New 30000 1000 0 Form and Instruction 2900-0876-Covid vaccine acceptance survey
COVID-19 Vaccine Survey New 15000 1250 0 Form and Instruction 2900-0876-AA2-1
Form and Instruction 2900-0876-AA2-2
Form and Instruction 2900-0876-AA2-3
Form and Instruction 2900-0876-AA2-4
COVID-19 Vaccine Veterans Experience Survey New 250000 8333 0 Form and Instruction 2900-0876-COVID-19 Vaccine Veterans Ex- survey
Clinical Contact Center Survey New 8688 434 0 Form and Instruction 2020-2900-0876-R1
Community Care Customer Experience Survey New 54000 2700 0 Form and Instruction 2020-2900-0876-T2
Covid-19 Veteran Customer Satisfaction Survey New 10800 540 0 Form 2900-0876-07A
Form 2900-0876-07B
Form 2900-0876-07C
Education Services Survey New 42924 2146 0 Form 2900-0876-2020-5
Emergency Medicine Community Care Survey New 7212 361 0 Form and Instruction Emergency Medicine Community Care survey wireframe
Emergency Medicine Telehealth Customer Satisfaction Survey New 9900 495 0 Form and Instruction 2900-0876-EMT-1
Enterprise Contact Center Council Community Care (ECCC CC) Survey New 49152 3277 0 Form and Instruction 2900-0875-AA1
Enterprise Contact Center Council Debt Management Center Survey New 650000 21667 0 Form and Instruction 2900-0876-AD1
Enterprise Contact Center Council National Cemetery Administration (ECCC NCA) Survey New 5328 178 0 Form and Instruction 2900-0876-AA
Enterprise Contact Center Council Veterans Experience Office (ECCC VEO) New 794535 26485 0 Form and Instruction 2900-0876-Z1
Form and Instruction 2900-0876-Z2
Financial Services Center Vendor Support Survey New 2042 102 0 Form and Instruction 2900-0876-AB1
Geriatrics Extended Care (GEC) Survey New 16796 1400 0 Form and Instruction 2900-0876-GEC-survey wireframes
MAPPING THE CROSS-AGENCY CUSTOMER EXPERIENCE JOURNEY New 100 117 0 Form and Instruction 2900-0876-R2
Member Services Contact Center Survey New 182000 9100 0 Form and Instruction 2900-0876-Q3A
No Show Imaging Survey New 12492 625 0 Form and Instruction No Show Imaging Survey
No Show Survey New 6969 348 0 Form and Instruction 2900-0876-003
Form and Instruction 2900-0876-004
OPIA/VEO Customer Survey New 5000 167 0 Form and Instruction OPIA/VEO Customer Survey
Office of Resolution Management, Diversity & Inclusion (ORMDI) Brand Health Survey New 52087 1736 0 Form and Instruction 2900-0876-AC1
Outpatient Services Surveys New 7835048 391752 0 Form and Instruction 2900-0876-V1
Form and Instruction 2900-0876-V4
Form and Instruction 2900-0876-V5
Form and Instruction 2900-0876-V3
Form and Instruction 2900-0876-V2
Preferences for Care During Covid Survey New 30000 1500 0 Form and Instruction 2900-0876-C2
Readjustment Counseling Services (RCS) Vet Center Survey New 57600 4416 0 Form and Instruction 2900-0876-RCS Survey Wireframes
Same Day Services Survey New 238848 19904 0 Form and Instruction 2900-08767-S1
Telemedicine New 604800 40320 0 Form and Instruction 2900-0876-AB1
Form and Instruction 2900-0876-AB2
Form and Instruction 2900-AB3
Form and Instruction 2900-0876-AB4
Form and Instruction 2900-0876-AB5
Form and Instruction 2900-0876-AB6
Transition Care and Management VA Liaison Survey New 10032 669 0 Form and Instruction 2900-0876-Transition Care and Management VA Liaiso
VA.gov A-11 Survey New 40000 2000 0 Form and Instruction 2900-0876-Q2
VBA Contact Center Survey New 67464 4498 0 Form and Instruction 2020-2900-0876-S1
VEAC Survey New 4000 200 0 Form and Instruction 2900-0876-VEAC Survey Wireframe
VHA Inpatient Survey New 546968 18232 0 Form and Instruction 2900-0876 - VHA Inpatient Survey wireframe
Veterans Safety Survey New 57331 1911 0 Form and Instruction 2900-0876-Veterans Safety Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 12006276 582415 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title