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
Anesthesia Patient Satisfaction Survey Unchanged 2400 200 0 Form and Instruction Anesthesia Patient Satisfaction Survey
Annie Text Messaging Survey Unchanged 25000 2083 0 Form and Instruction Annie Text Messaging Survey
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 Unchanged 25000 2083 0 Other-Survey Instrument
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
Care Coordination and Integrated Case Management (CCICM) Survey New 5000 417 0 Form and Instruction 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
Community Living Center (CLC) Survey Unchanged 10000 333 0 Form and Instruction 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
Form and Instruction 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
ECCC Vet Center Unchanged 15000 1250 0 Form and Instruction ECCC Vet Center Wireframe
ECCC – IVC VA Health Connect Unchanged 450000 7500 0 Form and Instruction 2900-0876
ECCC – VA Loan Guaranty Unchanged 10000 333 0 Form and Instruction 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
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
Healthy Teaching Kitchen Change Request New 5000 417 0 Form and Instruction Healthy Teaching Kitchen CR 001
Healthy Teaching Kitchen Survey Unchanged 5000 417 0 Form and Instruction Healthy Teaching Kitchen Final v2 RL Edits
Homelessness Survey Unchanged 24000 2000 0 Form and Instruction Homelessness WF 6.7.23 v3
Indiana Survey Unchanged 2500 83 0 Form and Instruction Indiana WF 1.12.24
Long COVID Surveys Unchanged 22041 1837 0 Form and Instruction 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 Unchanged 200 10 0 Form and Instruction MOVE! Maintenance Pilot Program Survey
Medical Disability Examination Office (MDEO) Survey New 360000 30000 0 Form and Instruction MDEO - Getting the Exam
Member Services Contact Center Survey Unchanged 182000 12133 0 Form and Instruction ECCC Member Services Wireframe
Military Exposure Survey Unchanged 120000 10000 0 Form and Instruction 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
Northern Arizona Dental Service survey Unchanged 1200 60 0 Form and Instruction Northern Arizona Dental Service survey
Nutrition & Food Service(NFS) Inpatient Survey Unchanged 60000 5000 0 Form and Instruction 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
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 Community Care – SEOC Survey New 750 50 0 Form and Instruction 2900-0876 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
Form and Instruction OSDBU Lunch N Learn Wireframe
Form and Instruction 2900-0876
Form and Instruction 2900-0876
Office of Small & Disadvantaged Business Utilization Event Surveys New 7500 500 0 Form and Instruction 2900-0876 OSDBU Event
Form and Instruction 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
PMA Getting Started with VA Pilot Support Survey New 10000 833 0 Form and Instruction 2900-0876
Personalized Career Planning and Guidance (PGPC) Survey Unchanged 300 25 0 Form and Instruction 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
Public Contact Team Survey Unchanged 9842 820 0 Form and Instruction 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
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
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
Telehealth Emergency Medicine Survey Update Unchanged 9900 495 0 Form and Instruction Telehealth Emergency Medicine Survey Update
Telehealth Emergency Medicine Survey Update New 9900 495 0 Form and Instruction Telehealth Emergency Medicine Survey Update WF
Telehealth Remote Patient Monitoring New 50000 3333 0 Form and Instruction 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
Telemedicine Unchanged 100000 3333 0 Form and Instruction 2900-0876 Telemedicine
Under 40 Trust Project Unchanged 2000 167 0 Form and Instruction 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 Dependency and Indemnity Compensation (VA DIC) Survey New 10000 833 0 Form and Instruction VA DIC
VA Kids Care New 10000 667 0 Form and Instruction 2900-0876 VA Kids Care
VA Maternity Care Coordination (MCC) - Postpartum Patient Satisfaction Survey New 3000 750 0 Form and Instruction 2900-0876
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
VA.gov A-11 Surveys Unchanged 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 Unchanged 13968 1164 0 Form and Instruction Compensation Survey
VBA Compensation Survey - Increase Burden Unchanged 34944 2912 0 Form and Instruction 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 Education Survey Unchanged 43644 3637 0 Form and Instruction 2900-0876
Form and Instruction 2900-0876
Form and Instruction 2900-0876
VBA Finance Center Survey New 1000 83 0 Form and Instruction 2900-0876
VBA Loan Guaranty Service (LGY) - Special Adaptive Housing (SAH) Survey New 1500 125 0 Form and Instruction Grant Approval
Form and Instruction 6 Month After Final Accounting
VBA Veteran Readiness and Employment Survey Unchanged 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 Unchanged 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 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
VSDHF Engagement Survey Unchanged 500 42 0 Form and Instruction VSDHF Engagement Survey Wireframe
VetResources Community Network (VRCN) Survey Unchanged 10000 833 0 Form and Instruction 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
Form and Instruction VFCE VEAC Exit Survey Final
survivor Survey Unchanged 1000 83 0 Form and Instruction 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  
To view an IC, click on IC Title