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

View Information Collection (IC)

Food and Nutrition Survey/Fraud,Waste,Abuse Complaint/Epilepsy Satisf-Survey/Building Better Caregivers Survey/Sodium Dichromate Feedback Survey
 
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 VA Form 10-0498 No   Paper Only
Form VA Form 10-0500 To Be Determined Yes Yes Fillable Fileable
Form VA Form 10-0558 To Be Determined Yes Yes Fillable Fileable
Form and Instruction VA Form 10-0499 Follow up Telephone Script No   Fillable Printable
Form VA Form 10-0559 No   Paper Only

Health Health Care Services

 

129,980 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 129,980 0 0 0 0 129,980
Annual IC Time Burden (Hours) 4,941 0 0 0 0 4,941
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Food and Nutrition Satisfaction Survey 01/27/2013
Fraud, Waste, and Abuse Complaint Form 01/27/2013
Epilepsy Centers of Excellence (ECoE) Satisfaction Survey 01/27/2013
Building Better Caregivers Satisfaction Survey 01/27/2013
Sodium Dichromate Exposure Exam Feedback 01/27/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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