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

VHA Generic Request: Notice Nurse Comment Card; Low Vision Clinic Patient Satisfaction Survey; Vendor Registration; Telephone Transformation Focus Group
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 10-0527 PVAMC Low Vision Patient Satisfaction Survey PVAMC Advanced Low Vision Clinic QA Survey.docx No   Paper Only
Form VA form 10-0519 Notice Your Nurse Notice Your Nurse Comment Card 10-0519 (4).doc No   Paper Only
Form VA Form 10-0528 Vendor Application for Fair Vendor Application for Fair 10-0528.pdf VHANOL_MMS_New_Vendor@VA.gov Yes Yes Fillable Fileable
Other-Script Focus Group Discussion Guide_final_VA requested change 11-10-2011.pdf No   Paper Only

Health Health Care Services

 

586 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 586 0 0 0 0 586
Annual IC Time Burden (Hours) 126 0 0 0 0 126
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
PVAMC Generic Request Generic_Clearance_Submission_PVAMC_LowVisionClinic.docx 12/15/2011
Generic Clearance Request_Notice Your Nurse Notice your nurse Generic Clearance Request.docx 12/15/2011
Generic Clearance Request_Vendor Application for Fair Generic_Submission_Vendor_Application for Fair.docx 12/15/2011
VHA Telephone Transformation Focus Groups Generic_Clearance_Submission_Telephone Focus Groups_08-5-2011.pdf 11/22/2011
VHA Telephone Transformation Focus Groups Introduction Item List for focus groups_8511.pdf 11/22/2011
VHA Telephone Transformation Focus Groups Focus group protocol_2011.pdf 11/22/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.