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 2900-0876 After Visit Summary
Anesthesia Patient Satisfaction Survey New 2400 200 0 Form and Instruction Anesthesia Patient Satisfaction Survey Anesthesia Patient Satisfaction Survey
Annie Text Messaging Survey New 25000 2083 0 Form and Instruction Annie Text Messaging Survey 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
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 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 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 Compassionate Contact Corps - Veteran
Form and Instruction Compassionate Contact Corps - Volunteer Compassionate Contact Corps - Volunteer
ECCC Vet Center New 15000 1250 0 Form and Instruction ECCC Vet Center Wireframe ECCC Vet Center Wireframe
ECCC – IVC VA Health Connect New 450000 7500 0 Form and Instruction 2900-0876 ECCC VA Health Connect Wireframe OMB rev 3 3 25
ECCC – VA Loan Guaranty New 10000 333 0 Form and Instruction 2900-0876 ECCC – VA Loan Guaranty 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 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 OSDBU IVR Wireframe v2
Healthy Teaching Kitchen Survey New 5000 417 0 Form and Instruction Healthy Teaching Kitchen Final v2 RL Edits Healthy Teaching Kitchen Final v2 RL Edits
Homelessness Survey New 24000 2000 0 Form and Instruction Homelessness WF 6.7.23 v3 Homelessness WF 6.7.23 v3
Indiana Survey New 2500 83 0 Form and Instruction Indiana WF 1.12.24 Indiana WF 1.12.24
Long COVID Surveys New 22041 1837 0 Form and Instruction Long Covid Survey Wires 2023_02_10 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 Wireframe
MOVE! Maintenance Pilot Program Survey New 200 10 0 Form and Instruction MOVE! Maintenance Pilot Program Survey MOVE! Maintenance Pilot Program Survey
Member Services Contact Center Survey New 182000 12133 0 Form and Instruction ECCC Member Services Wireframe ECCC Member Services Wireframe
Military Exposure Survey New 120000 10000 0 Form and Instruction Military Exposures Care Survey 2023_03_06 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 2900-0876 MyHealtheVet and Oracle Health Survey
Northern Arizona Dental Service survey New 1200 60 0 Form and Instruction Northern Arizona Dental Service survey Northern Arizona Dental Service survey
Nutrition & Food Service(NFS) Inpatient Survey New 60000 5000 0 Form and Instruction NFS Wireframe 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 Attending Wireframe
Form and Instruction 2900-0876 Billing Wireframe
Form and Instruction 2900-0876 Choosing Wireframe
Form and Instruction 2900-0876 Emergency Wireframe
Form and Instruction 2900-0876 RX Wireframe
Form and Instruction 2900-0876 Scheduling Wireframe
Office of Small & Disadvantaged Business Utilization (OSDBU) Customer Service & Lunch "N" Learn Survey Updates New 5000 417 0 Form and Instruction OSDBU CS Wireframe OSDBU CS Wireframe
Form and Instruction OSDBU Lunch N Learn Wireframe OSDBU Lunch N Learn Wireframe
Form and Instruction 2900-0876 OSDBU CS Wireframe OMB 12 12 24
Form and Instruction 2900-0876 OSDBU Lunch N Learn Wireframe
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 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 Promise to Address Comprehensive Toxics (PACT) Act Outreach survey
Public Contact Team Survey New 9842 820 0 Form and Instruction PCT survey 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 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 2900-0876 Telehealth Store and Forward Result
Telemedicine New 100000 3333 0 Form and Instruction 2900-0876 Telemedicine 2900-0876 Telemedicine
Under 40 Trust Project New 2000 167 0 Form and Instruction Under 40 Trust WF 4.27.23 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 Solid Start Survey Wires
VA.gov A-11 Surveys New 300000 15000 0 Form and Instruction VA.gov VFS Questionnaire - 01202023 HF VA.gov VFS Questionnaire - 01202023 HF
Form and Instruction VA.gov VFS - Search Questionnaire - 01202023 HF VA.gov VFS - Search Questionnaire - 01202023 HF
Form and Instruction VA.gov VFS - ChatBot Questionnaire - 01202023 HF VA.gov VFS - ChatBot Questionnaire - 01202023 HF
Form and Instruction VA.gov A11 Questionnaire - 01202023 HF VA.gov A11 Questionnaire - 01202023 HF
VBA Compensation Survey New 13968 1164 0 Form and Instruction Compensation Survey Compensation Survey
VBA Compensation Survey - Increase Burden New 34944 2912 0 Form and Instruction 2023-03-08 Compensation Claims Questions_FINAL 2023-03-08 Compensation Claims Questions_FINAL
VBA Education Survey New 43644 3637 0 Form and Instruction 2900-0876 Enrolling in School Survey OMB rev 2 26 25
Form and Instruction 2900-0876 Receiving Ed Benefits Survey OMB rev 2 26 25
Form and Instruction 2900-0876 Applying for benefits survey OMB rev 2 26 25
VBA Veteran Readiness and Employment Survey New 38232 3186 0 Form and Instruction Participating VR&E survey wireframe Participating VR&E survey wireframe
Form and Instruction Discontinuing from VRE survey wireframe Discontinuing from VRE survey wireframe
Form and Instruction Completing VR&E survey wireframe 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 VRE CH31 - Learning and Applying for VR&E Survey
Form and Instruction VRE CH31 - Participating in VR&E Survey VRE CH31 - Participating in VR&E Survey
Form and Instruction VRE CH31 - Completing VR&E Survey Wireframes VRE CH31 - Completing VR&E Survey Wireframes
Form and Instruction VRE CH31 - Discontinuing from VRE Survey 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 VIP Bootcamp Satisfaction Survey
VSDHF Engagement Survey New 500 42 0 Form and Instruction VSDHF Engagement Survey Wireframe VSDHF Engagement Survey Wireframe
VetResources Community Network (VRCN) Survey New 10000 833 0 Form and Instruction VRCN Wireframe 6.15.23 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 VFCE VEAC Email Survey Final
Form and Instruction VFCE VEAC Exit Survey Final VFCE VEAC Exit Survey Final
survivor Survey New 1000 83 0 Form and Instruction Survivor Survey 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