View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Project ARCH (Access received Closer to Home) Patient Satisfaction Survey 2900-0770
 
Modified
 
Voluntary
 
5 CFR 1320.8(d)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction VA Form 10-0522 No   Paper Only

Health Health Care Services

 

3,600 0
   
Individuals or Households
 
   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 7,200 0 0 0 0 7,200
Annual IC Time Burden (Hours) 1,440 0 0 0 0 1,440
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent Form 11/07/2011
ARCH Patient Satisfaction Cover Letter 11/14/2011
Eligibility Requirements for Project ARCH 11/14/2011
Generic Submission Request_Project ARCH 11_17 11/17/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.