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

View Information Collection (IC)

Boston VAMC Ophthamology Satisfaction Survey / VISN 20 Telephone Call Center Satisfaction Survey
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 10-211001NR Patient Satisfaction Survey_Boston VAMC_Dept. of Ophthamology Patient Satisfaction Boston Survey 10-211001NR.pdf No   Paper Only
Form VA Form 10-10059 Telephone Customer Service Experience Satisfaction Survey VISN 20 Tele Service Satisfaction Survey 10-10059.pdf No   Paper Only

Health Health Care Services

 

2,300 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 2,300 0 0 0 0 2,300
Annual IC Time Burden (Hours) 275 0 0 0 0 275
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Patient Survey-Boston VAMC Department of Ophthamology Generic Request-Boston VAMC Patient Satisfaction.docx 05/09/2013
Memo on resubmission of Boston VAMC generic ICR Memo on resubmission of Boston VAMC generic ICR.doc 05/09/2013
VISN 20 Tele-Call Center Svc Generic_Clearance_Request VISN 20 Tele Call Center Svc Generic_Clearance_Request.docx 05/09/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.