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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Telephone Survey on User Experience and Satisfaction with the Virtual Lifetime Electronic Record (VLER) Health Data Exchange
Agency IC Tracking Number:
2900-0770
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
5 CFR 1320.8(d)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Interviewer Script
Provider-Interview-Guide_110701_v9_LM[1].docx
Telephone survey
No
Paper Only
Other-Interviewer Script
Veteran_(Patient)_Interview-Guide-v22-110701_LM[1].docx
Telephone surveys
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
220
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
220
0
0
0
0
220
Annual IC Time Burden (Hours)
55
0
0
0
0
55
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Interviews on User Experience and Satisfaction with the Virtual Lifetime Electronic Record (VLER) Health Data Exchange
VLER__Generic_Clearance_Request_Form_LM_111103[1].docx
11/09/2011
Methods for ¿User Experience and Satisfaction with the Virtual Lifetime Electronic Record (VLER) Health Data Exchange
VLER_Methods for provider and patient interviews_110816.docx
10/02/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.