Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Accessibility of Mammography Services - Veteran and Community Facility Surveys New 3107 518 0 Other-Survey
Other-Survey
Building Better Caregivers (BBC) Alumni Community - Satisfaction Survey New 700 82 0 Other-Survey
Building Better Caregivers (BBC) Training Workshop - Satisfaction Survey New 1000 133 0 Other-Survey
CT-GC Self-Testing Program Survey New 200 17 0 Other-Survey
Close to Me Program - Patient Satisfaction Survey (CBOC) New 40 10 0 Other-Survey
Collaborative Exploration of Viable Extended Reality (CEVER) Customer Satisfaction Survey New 200 33 0 Other-Survey
Community Living Center (CLC) Survey (VISN 1-Bedford) New 1500 750 0 Other-Survey
Community Residential Care (CRC) Program Veteran Survey New 2637 220 0 Other-Survey
DEI Veterans Focus Group Assessments (VA Puget Sound) New 64 96 0 Other-Focus Group Guide
Dialysis Patient Satisfaction Survey - Lebanon VAMC New 95 8 0 Other-Survey
Endoscopy Unit Patient Satisfaction Survey (VACT HCS) New 100 8 0 Other-Survey
Erie VAMC Lactation Consultant Services Survey New 50 4 0 Other-Survey
Financial Education and Literacy 4 Veterans Survey New 1000 33 0 Other-Survey
Other-Survey Form
Healthy Teaching Kitchen (HTK) Virtual Class Evaluation New 1000 83 0 Other-Survey
Intensive Community Mental Health Recovery Services (ICMHRS) Veteran Satisfaction Surveys New 164 14 0 Other-Survey
Other-Survey
Intimate Partner Violence (IPV) Post-Group Satisfaction Survey New 40 20 0 Other-Survey
James A Haley Veterans Hospital (JAHVH) - Quality Improvement & Clinical Research Studies Registry Survey New 5000 833 0 Other-Registry Survey
Life Insurance Call Center Satisfaction Questionnaire New 250 63 0 Form Survey VBA 2022 Life Insurance Call Center Satisfaction Questionnaire
Loan Guaranty Service (LGY) Technology Customer Satisfaction Survey New 14000 1166 0 Other-Survey
MOVE! Weight Management Program for Veterans - Mid-Program & Post-Program Satisfaction Surveys New 6000 634 0 Other-Survey
Other-Survey
Medical Foster Home (MFH) Program Veteran & Caregiver Surveys New 1378 115 0 Other-Survey
Other-Survey
Military2VA Post-9/11 Case Management Program Satisfaction Surveys New 250 21 0 Other-Survey
Other-Survey
NCHS Breast Cancer Wellness Recovery - Peer Support Need Questionnaire New 125 125 0 Other-Questionnaire
National Acquisition Center (NAC) Commodities and Services Acquisition Service (CSAS) Voice of the Customer (VOC) Survey New 120 6 0 Form and Instruction N/A NAC CSAS Voice of the Customer (VOC) Survey_OMB 2900-0770
National Caregiver Training Program - Participant Satisfaction Survey New 5000 833 0 Other-Survey
Network of Support Pilot Survey PL 116-214 New 128 11 0 Other-survey
Peer Support Outreach Center (PSOC) - Client Satisfaction Questionnaire (CSQ) & Peer Specialist Services Assessment New 3500 292 0 Other-Survey
Other-Survey
Physical Medicine & Rehabilitation (PM&R) Services - Patient Satisfaction Survey (VACT HCS) New 800 67 0 Other-Survey
Positive Airway Pressure (PAP) Supply Program Satisfaction Survey New 750000 62500 0 Other-Survey
Post Career Fair Employer Survey New 250 8 0 Form 2900-0770 Post Career Fair Employer Survey
Post Career Fair Participant Survey New 30000 2500 0 Form 2900-0770 Post Career Fair Participant Survey
Primary Care Mental Health Integration (PCMHI) Services - Virtual Care Survey New 125 10 0 Other-Survey
Primary Family Caregiver Financial and Legal Services Survey New 2030 169 0 Other-Survey
Resident Physician Clinic Visit - Patient Satisfaction Survey New 100 5 0 Other-Survey
STEMText Survey New 730 61 0 Other-
SURVEY OF THE HANDLING OF UNCLAIMED VETERAN REMAINS New 705 35 0 Form and Instruction 2900-0770 Survey of the Handling of Unclaimed Veteran Remains
Same Day Service (SDS) Patient Satisfaction Surveys New 600 35 0 Other-Survey
Other-Survey
Survey of Suicide Prevention Care Standards Among VCC Providers New 2950 738 0 Other-Survey
Survey of Veterans Utilizing Peer Specialist Services New 20 5 0 Other-Survey
Telerehabilitation Enterprise Wide Initiative (TREWI) Patient Satisfaction Survey New 1500 250 0 Other-Survey
VA Trainee Satisfaction Survey (VA-TSS) New 18000 1500 0 Other-Survey
VBA Customer Satisfaction Survey New 225000 18750 0 Other-Survey
VBA OSE Comms Materials Survey New 10000 1667 0 Other-Survey questions
VCL "Dial 988 then Press 1" Media Campaign Effectiveness Evaluation (Survey) New 1875 781 0 Other-Survey
Other-Survey
VCL "Dial 988 then Press 1" Media Campaign Effectiveness Evaluation - Focus Groups New 80 80 0 Other-Focus Group Guide
VCP Community Organization Needs Assessment Survey New 50 8 0 Other-Survey
VET TEC Experience Survey New 1911 159 0 Other-SURVEY
VHA OCC FOIA & Privacy Office - Customer Satisfaction Survey New 300 25 0 Other-Survey
VRRAP Experience Survey and VRRAP Enrollment vs Eligible Survey New 193200 4025 0 Other-Survey
Other-Survey
Vet Center RCS Awareness Survey New 1000 250 0 Other-Survey
Veteran Class/Service Satisfaction Survey (VSSS) - VISN 10 New 1000 83 0 Other-Survey
Veteran Cultural Care Needs Satisfaction Survey New 100 17 0 Other-Survey
Veteran Dental Care Utilization Survey New 2536 127 0 Other-Survey
Veteran Hybrid Tele-Neuropsychological Evaluation - Satisfaction Survey New 50 8 0 Other-Survey
Veterans Health Education Class Satisfaction Survey - OVAHCS New 3000 500 0 Other-Survey
Veterans Transportation Service (VTS) - Customer Satisfaction Survey (VISN 10) New 3000 150 0 Other-Survey
Vocational Rehabilitation Services (VRS) Employment Program Satisfaction Surveys New 165 14 0 Other-Survey
Other-Survey
Other-Survey
Whole Health Well-Being Program - Veteran Satisfaction Survey New 500 42 0 Other-Survey
Women Veterans Network (WoVeN) - Peer Group Satisfaction Survey New 150 38 0 Other-Survey
Young Minority Women Veterans VA Care Satisfaction Surveys New 75 56 0 Other-Survey
Other-Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 1299450 100791 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title