Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
After Visit Summary Survey Unchanged 50000 2500 0 Form and Instruction 2900-0876 After Visit Summary 2900-0876 After Visit Summary
Anesthesia Patient Satisfaction Survey Unchanged 2400 200 0 Form and Instruction Anesthesia Patient Satisfaction Survey Anesthesia Patient Satisfaction Survey
Annie Text Messaging Survey Unchanged 25000 2083 0 Form and Instruction Annie Text Messaging Survey Annie Text Messaging Survey
Annie Text Messaging Survey Question Changes Unchanged 25000 2083 0 Other-Survey Instrument
Annie Text Messaging Survey Question Changes Unchanged 25000 2083 0 Form and Instruction Annie Text Messaging Survey Question Changes Annie Text Messaging Survey Question Changes
Beneficiary Travel Self Service System (BTSSS) Survey Unchanged 156000 13000 0 Other-Survey Instrument
Beneficiary Travel Self Service System (BTSSS) Survey Question updates Unchanged 156000 13000 0 Other-Survey Instrument
Blind and Low Vision Rehabilitation Survey Unchanged 18000 1500 0 Other-Survey Instrument
CXPA Veteran Enrollment Survey New 2000 167 0 Form and Instruction 2900-0876 CXPA Veteran Enrollment Survey CXPA Veteran Enrollment Survey
Care Coordination and Integrated Case Management (CCICM) Survey New 5000 417 0 Form and Instruction CCICM Ad Hoc WF 032725 CCICM Ad Hoc WF 032725
Clinical Contact Center Survey-Update Burden Unchanged 13400 893 0 Other-Survey Instrument
Clinical Screening Tool Survey Unchanged 1000 50 0 Form and Instruction 2900-0876 Clinical Screening Tool Survey 2900-0876 Clinical Screening Tool Survey
Community Living Center (CLC) Survey Unchanged 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 Unchanged 10000 333 0 Other-Survey Instrument
Compassionate Contact Corps Survey Unchanged 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
Diabetes Self-Management Education and Support (DSMES) Survey New 5000 417 0 Form and Instruction Diabetes Self-Management Education and Support Ad Diabetes Self-Management Education and Support Ad Hoc WF
ECCC Vet Center Unchanged 15000 1250 0 Form and Instruction ECCC Vet Center Wireframe ECCC Vet Center Wireframe
ECCC – IVC VA Health Connect Unchanged 450000 7500 0 Form and Instruction 2900-0876 ECCC VA Health Connect Wireframe OMB rev 3 3 25
ECCC – VA Loan Guaranty Unchanged 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 Unchanged 40000 3333 0 Other-Survey Instrument
Enterprise Contact Center Council (ECCC) - Veterans Exposure Team-Health Outcomes Military Exposures (VET-HOME) Survey Unchanged 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 Unchanged 5000 417 0 Form and Instruction OSDBU IVR Wireframe v2 OSDBU IVR Wireframe v2
Healthy Teaching Kitchen Change Request New 5000 417 0 Form and Instruction Healthy Teaching Kitchen CR 001 Healthy Teaching Kitchen CR 001
Healthy Teaching Kitchen Survey Unchanged 5000 417 0 Form and Instruction Healthy Teaching Kitchen Final v2 RL Edits Healthy Teaching Kitchen Final v2 RL Edits
Homelessness Survey Unchanged 24000 2000 0 Form and Instruction Homelessness WF 6.7.23 v3 Homelessness WF 6.7.23 v3
Indiana Survey Unchanged 2500 83 0 Form and Instruction Indiana WF 1.12.24 Indiana WF 1.12.24
Long COVID Surveys Unchanged 22041 1837 0 Form and Instruction Long Covid Survey Wires 2023_02_10 Long Covid Survey Wires 2023_02_10
MOVE! Maintenance Pilot Program Unchanged 200 10 0 Form and Instruction MOVE! Maintenance Pilot Program Survey Wireframe MOVE! Maintenance Pilot Program Survey Wireframe
MOVE! Maintenance Pilot Program Survey Unchanged 200 10 0 Form and Instruction MOVE! Maintenance Pilot Program Survey MOVE! Maintenance Pilot Program Survey
Medical Disability Examination Office (MDEO) Survey New 360000 30000 0 Form and Instruction MDEO - Getting the Exam MDEO - Getting the Exam
Member Services Contact Center Survey Unchanged 182000 12133 0 Form and Instruction ECCC Member Services Wireframe ECCC Member Services Wireframe
Military Exposure Survey Unchanged 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 Unchanged 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 Unchanged 1200 60 0 Form and Instruction Northern Arizona Dental Service survey Northern Arizona Dental Service survey
Nutrition & Food Service(NFS) Inpatient Survey Unchanged 60000 5000 0 Form and Instruction NFS Wireframe NFS Wireframe
Nutrition and Food Service Inpatient Survey - Updated Question Unchanged 60000 5000 0 Other-Survey Instrument
Office of Community Care – IVC Survey Collection Unchanged 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 Community Care – SEOC Survey New 750 50 0 Form and Instruction 2900-0876 Office of Community Care – SEOC Survey 2900-0816 Office of Community Care – SEOC Survey
Office of Small & Disadvantaged Business Utilization (OSDBU) Customer Service & Lunch "N" Learn Survey Updates Unchanged 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
Office of Small & Disadvantaged Business Utilization Event Surveys New 7500 500 0 Form and Instruction 2900-0876 OSDBU Event 2900-0876 Office of Small & Disadvantaged Business Utilization Event Surveys Event
Form and Instruction 2900-0876 OSDBU Exhibition 2900-0876 OSDBU Exhibition
Outpatient-Labs and Imaging - Add Mammography Questions Unchanged 2000 67 0 Other-Survey Instrument
PACT Act Toxic Exposure Screening Navigator Customer Service Ad Hoc Survey New 3000 250 0 Form and Instruction 2900-0876 Pact Act TES WF Survey
PMA Getting Started with VA Pilot Support Survey New 10000 833 0 Form and Instruction 2900-0876 VA Pilot Support Survey
Personalized Career Planning and Guidance (PGPC) Survey Unchanged 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 Unchanged 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 Unchanged 9842 820 0 Form and Instruction PCT survey PCT survey
Readjustment Counseling Services (RCS) Vet Center Survey – Initial Engagement New 1200 100 0 Other-Survey Instrument
Sleep Study Ad Hoc Survey New 3000 150 0 Form and Instruction Sleep Study Ad Hoc WF Sleep Study Ad Hoc WF
Spanish Benefits Letter Survey Unchanged 4000 200 0 Other-Survey Instrument
Sturgis Rally VetFest 2024 Mini Registration Unchanged 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) Unchanged 800 67 0 Other-Survey Instrument
Survivors Assistance and Memorial Support (SAMS) Survey New 5000 417 0 Form and Instruction SAMS Survey WF 001 SAMS Survey WF 001
Telehealth Emergency Medicine Survey Update New 9900 495 0 Form and Instruction Telehealth Emergency Medicine Survey Update WF Telehealth Emergency Medicine Survey Update WF
Telehealth Emergency Medicine Survey Update Unchanged 9900 495 0 Form and Instruction Telehealth Emergency Medicine Survey Update Telehealth Emergency Medicine Survey Update
Telehealth Remote Patient Monitoring New 50000 3333 0 Form and Instruction 2900-0876 Telehealth Remote Patient Monitoring 2900-0876 Telehealth Remote Patient Monitoring
Telehealth Store and Forward Result Unchanged 100000 6667 0 Form and Instruction 2900-0876 Telehealth Store and Forward Result 2900-0876 Telehealth Store and Forward Result
Telemedicine Unchanged 100000 3333 0 Form and Instruction 2900-0876 Telemedicine 2900-0876 Telemedicine
Under 40 Trust Project Unchanged 2000 167 0 Form and Instruction Under 40 Trust WF 4.27.23 Under 40 Trust WF 4.27.23
VA Call Center Experience & Expectations Survey New 10000 833 0 Form and Instruction VA Call Center Experience and Expectations Survey VA Call Center Experience and Expectations Survey WF response 5 14 25
VA Dependency and Indemnity Compensation (VA DIC) Survey New 10000 833 0 Form and Instruction VA DIC VA DIC
VA Kids Care New 10000 667 0 Form and Instruction 2900-0876 VA Kids Care 2900-0876 VA Kids Care
VA Maternity Care Coordination (MCC) - Postpartum Patient Satisfaction Survey New 3000 750 0 Form and Instruction 2900-0876 MCC Survey
VA OIG Viewer Interest Project Unchanged 15000 250 0 Other-Survey Instrument
VA Solid Start Survey Unchanged 13309 1109 0 Form and Instruction Solid Start Survey Wires Solid Start Survey Wires
VA.gov A-11 Surveys Unchanged 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 Unchanged 13968 1164 0 Form and Instruction Compensation Survey Compensation Survey
VBA Compensation Survey - Increase Burden Unchanged 34944 2912 0 Form and Instruction 2023-03-08 Compensation Claims Questions_FINAL 2023-03-08 Compensation Claims Questions_FINAL
VBA Disability Compensation Non-Rating Claims Survey New 25000 2083 0 Form and Instruction VBA DC Non-Rating Claims Survey VBA DC Non-Rating Claims Survey
VBA Education Survey Unchanged 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 Finance Center Survey New 1000 83 0 Form and Instruction 2900-0876 VBA Finance Center Survey
VBA Loan Guaranty Service (LGY) - Special Adaptive Housing (SAH) Survey New 1500 125 0 Form and Instruction Grant Approval Grant Approval
Form and Instruction 6 Month After Final Accounting 6 Month After Final Accounting
VBA Veteran Readiness and Employment Survey Unchanged 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 Unchanged 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 Unchanged 2000 100 0 Other-Survey Instrument
VFCE VEAC Survey - Updated Trust Question Unchanged 12000 1000 0 Other-Survey Instrument
VHA ALS Customer Experience Survey Unchanged 1000 83 0 Other-Survey Instrument
VHA Community Living Center - Add SCI/D question Unchanged 10000 333 0 Other-Survey Instrument
VIP Bootcamp Satisfaction Survey Unchanged 2400 120 0 Form and Instruction VIP Bootcamp Satisfaction Survey VIP Bootcamp Satisfaction Survey
VSDHF Engagement Survey Unchanged 500 42 0 Form and Instruction VSDHF Engagement Survey Wireframe VSDHF Engagement Survey Wireframe
VetResources Community Network (VRCN) Survey Unchanged 10000 833 0 Form and Instruction VRCN Wireframe 6.15.23 VRCN Wireframe 6.15.23
Veteran Transportation Surveys Unchanged 4000 333 0 Other-Survey Instrument
Other-Survey Instrument
Veterans Family and Community Engagement (VFCE) Veterans Engagement Action Center (VEAC) Email & Exit Surveys Unchanged 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 Unchanged 1000 83 0 Form and Instruction Survivor Survey Survivor Survey
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 3035294 194084 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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