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

View Information Collection (IC)

VCS Patriot Store/Cafe Customer/VCS Focus Group/Patient Experience of Care Survey/VA Dental Service Customer Survey/Mental Health Satisfaction 2900-0770
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 10-0551 No   Paper Only
Other-Training Script No   Paper Only
Form VA form 10-0552 No   Paper Only
Form VA form 10-0553 No   Paper Only
Form VA Form 10-0553S No   Paper Only
Form VA Form 10-0554 TBD Yes Yes Fillable Fileable
Other-Information Script TBD Yes No Fillable Fileable

Health Health Care Services

 

11,765 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 11,765 0 0 0 0 11,765
Annual IC Time Burden (Hours) 2,632 0 0 0 0 2,632
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic_Request VCS Surveys 09/24/2012
Generic Submission-VCS Focus Group 09/24/2012
Generic_Submission_Request EM Patient Survey 09/24/2012
Dental Survey Generic Clearance Submission 09/24/2012
Mental Health Veteran Satisfaction Generic_Request 10/05/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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