Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
After Visit Summary Survey New 50000 2500 0 Form and Instruction 2900-0876 After Visit Summary
Anesthesia Patient Satisfaction Survey New 2400 200 0 Form and Instruction Anesthesia Patient Satisfaction Survey
Annie Text Messaging Survey New 25000 2083 0 Form and Instruction Annie Text Messaging Survey
Annie Text Messaging Survey Question Changes New 25000 2083 0 Form and Instruction Annie Text Messaging Survey Question Changes
Annie Text Messaging Survey Question Changes New 25000 2083 0 Other-Survey Instrument
Beneficiary Travel Self Service System (BTSSS) Survey New 156000 13000 0 Other-Survey Instrument
Beneficiary Travel Self Service System (BTSSS) Survey Question updates New 156000 13000 0 Other-Survey Instrument
Blind and Low Vision Rehabilitation Survey New 18000 1500 0 Other-Survey Instrument
Clinical Contact Center Survey-Update Burden New 13400 893 0 Other-Survey Instrument
Clinical Screening Tool Survey New 1000 50 0 Form and Instruction 2900-0876 Clinical Screening Tool Survey
Community Living Center (CLC) Survey New 10000 333 0 Form and Instruction CLC WF with footer & logic & priv 5.22.23
Community Living Centers (CLC) Survey-Updated trust question New 10000 333 0 Other-Survey Instrument
Compassionate Contact Corps Survey New 1700 142 0 Form and Instruction Compassionate Contact Corps - Veteran
Form and Instruction Compassionate Contact Corps - Volunteer
ECCC Vet Center New 15000 1250 0 Form and Instruction ECCC Vet Center Wireframe
ECCC – IVC VA Health Connect New 450000 7500 0 Form and Instruction 2900-0876
ECCC – VA Loan Guaranty New 10000 333 0 Form and Instruction 2900-0876 ECCC – VA Loan Guaranty
Ensuring Awareness of Benefits and Services of NCA New 40000 3333 0 Other-Survey Instrument
Enterprise Contact Center Council (ECCC) - Veterans Exposure Team-Health Outcomes Military Exposures (VET-HOME) Survey New 40000 3333 0 Form and Instruction ECCC - VET HOME Survey Wireframes
Enterprise Contact Center Council (ECCC) Office of Small & Disadvantaged Business Utilization (OSDBU) Interactive Voice Response (IVR) Survey New 5000 417 0 Form and Instruction OSDBU IVR Wireframe v2
Healthy Teaching Kitchen Survey New 5000 417 0 Form and Instruction Healthy Teaching Kitchen Final v2 RL Edits
Homelessness Survey New 24000 2000 0 Form and Instruction Homelessness WF 6.7.23 v3
Indiana Survey New 2500 83 0 Form and Instruction Indiana WF 1.12.24
Long COVID Surveys New 22041 1837 0 Form and Instruction Long Covid Survey Wires 2023_02_10
MOVE! Maintenance Pilot Program New 200 10 0 Form and Instruction MOVE! Maintenance Pilot Program Survey Wireframe
MOVE! Maintenance Pilot Program Survey New 200 10 0 Form and Instruction MOVE! Maintenance Pilot Program Survey
Member Services Contact Center Survey New 182000 12133 0 Form and Instruction ECCC Member Services Wireframe
Military Exposure Survey New 120000 10000 0 Form and Instruction Military Exposures Care Survey 2023_03_06
MyHealtheVet and Oracle Health Survey New 50000 2500 0 Form and Instruction 2900-0876 MyHealtheVet and Oracle Health Survey
Northern Arizona Dental Service survey New 1200 60 0 Form and Instruction Northern Arizona Dental Service survey
Nutrition & Food Service(NFS) Inpatient Survey New 60000 5000 0 Form and Instruction NFS Wireframe
Nutrition and Food Service Inpatient Survey - Updated Question New 60000 5000 0 Other-Survey Instrument
Office of Community Care – IVC Survey Collection New 65000 4875 0 Form and Instruction 2900-0876
Form and Instruction 2900-0876
Form and Instruction 2900-0876
Form and Instruction 2900-0876
Form and Instruction 2900-0876
Form and Instruction 2900-0876
Office of Small & Disadvantaged Business Utilization (OSDBU) Customer Service & Lunch "N" Learn Survey Updates New 5000 417 0 Form and Instruction OSDBU CS Wireframe
Form and Instruction OSDBU Lunch N Learn Wireframe
Form and Instruction 2900-0876
Form and Instruction 2900-0876
Outpatient-Labs and Imaging - Add Mammography Questions New 2000 67 0 Other-Survey Instrument
Personalized Career Planning and Guidance (PGPC) Survey New 300 25 0 Form and Instruction Personalized Career Planning and Guidance Survey
Promise to Address Comprehensive Toxics (PACT) Act Outreach survey New 100000 8333 0 Form and Instruction Promise to Address Comprehensive Toxics (PACT) Act
Public Contact Team Survey New 9842 820 0 Form and Instruction PCT survey
Spanish Benefits Letter Survey New 4000 200 0 Other-Survey Instrument
Sturgis Rally VetFest 2024 Mini Registration New 2000 100 0 Form and Instruction Wireframe Template 6.9.23 1 VFCE Sturgis V2
Support Staff Post Veterans Experience Action Center (VEAC) New 800 67 0 Other-Survey Instrument
Telehealth Store and Forward Result New 100000 6667 0 Form and Instruction 2900-0876 Telehealth Store and Forward Result
Telemedicine New 100000 3333 0 Form and Instruction 2900-0876 Telemedicine
Under 40 Trust Project New 2000 167 0 Form and Instruction Under 40 Trust WF 4.27.23
VA OIG Viewer Interest Project New 15000 250 0 Other-Survey Instrument
VA Solid Start Survey New 13309 1109 0 Form and Instruction Solid Start Survey Wires
VA.gov A-11 Surveys New 300000 15000 0 Form and Instruction VA.gov VFS Questionnaire - 01202023 HF
Form and Instruction VA.gov VFS - Search Questionnaire - 01202023 HF
Form and Instruction VA.gov VFS - ChatBot Questionnaire - 01202023 HF
Form and Instruction VA.gov A11 Questionnaire - 01202023 HF
VBA Compensation Survey New 13968 1164 0 Form and Instruction Compensation Survey
VBA Compensation Survey - Increase Burden New 34944 2912 0 Form and Instruction 2023-03-08 Compensation Claims Questions_FINAL
VBA Education Survey New 43644 3637 0 Form and Instruction 2900-0876
Form and Instruction 2900-0876
Form and Instruction 2900-0876
VBA Veteran Readiness and Employment Survey New 38232 3186 0 Form and Instruction Participating VR&E survey wireframe
Form and Instruction Discontinuing from VRE survey wireframe
Form and Instruction Completing VR&E survey wireframe
VBA Veterans Readiness and Employment (Chapter 31) Surveys New 11964 997 0 Form and Instruction VRE CH31 - Learning and Applying for VR&E Survey
Form and Instruction VRE CH31 - Participating in VR&E Survey
Form and Instruction VRE CH31 - Completing VR&E Survey Wireframes
Form and Instruction VRE CH31 - Discontinuing from VRE Survey
VEAC/Outreach Naming Survey New 2000 100 0 Other-Survey Instrument
VFCE VEAC Survey - Updated Trust Question New 12000 1000 0 Other-Survey Instrument
VHA ALS Customer Experience Survey New 1000 83 0 Other-Survey Instrument
VHA Community Living Center - Add SCI/D question New 10000 333 0 Other-Survey Instrument
VIP Bootcamp Satisfaction Survey New 2400 120 0 Form and Instruction VIP Bootcamp Satisfaction Survey
VSDHF Engagement Survey New 500 42 0 Form and Instruction VSDHF Engagement Survey Wireframe
VetResources Community Network (VRCN) Survey New 10000 833 0 Form and Instruction VRCN Wireframe 6.15.23
Veteran Transportation Surveys New 4000 333 0 Other-Survey Instrument
Other-Survey Instrument
Veterans Family and Community Engagement (VFCE) Veterans Engagement Action Center (VEAC) Email & Exit Surveys New 12000 1000 0 Form and Instruction VFCE VEAC Email Survey Final
Form and Instruction VFCE VEAC Exit Survey Final
survivor Survey New 1000 83 0 Form and Instruction Survivor Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 2497544 150669 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title