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

View Information Collection (IC)

National Patient Centered Community Care Survey Questions / Oklahoma City (OKC) VAMC Dental Patient Satisfaction Survey
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 10-211009 TBD Yes Yes Fillable Fileable
Form 10-211008 No   Paper Only

Health Public Health Monitoring

 

12,400 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 12,400 0 0 0 0 12,400
Annual IC Time Burden (Hours) 1,434 0 0 0 0 1,434
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
VA Generic Clearance Submission PC3 Survey 09/19/2013
Generic Request OKC Dental Satisfaction Survey 09/12/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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