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
SHEP - Nationwide Customer Satisfaction Surveys
Modified
658920
137415
0
Form and Instruction
VA Form 10-1465-2
SHEP Inpatient Short Form
Form and Instruction
VA Form 10-1465-5
SHEP Patient Centered Medical Homes (PCMH) Short Form
Form and Instruction
VA Form 10-1465-7
SHEP Home Healthcare CAHPS Long Form
Form and Instruction
VA Form 10-1465-8
SHEP In-Center Hemodialysis (ICHemo) Long Form
Form and Instruction
VA Form 10-1465-9
SHEP Specialty Care Survey
Form and Instruction
VA Form 10-1465-10
SHEP VA Community Care
Form and Instruction
VA Form 10-1465-11
SHEP Recent Visit Survey
Form and Instruction
VA Form 10-1465-1
SHEP Inpatient Long Form
Form and Instruction
VA Form10-1465-3
SHEP Ambulatory Care Long Form
Form and Instruction
VA Form 10-1465-4
SHEP Ambulatory Care Short Form
Form and Instruction
VA Form 10-1465-6
SHEP PCMH Ambulatory CareLong Form
Total burden requested under this ICR:
658920
137415
0
To view an IC, click on IC Title
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