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

View Information Collection (IC)

Rehabilitation Care Survey/HEC Vet Enrollment Survey/Project ARCH non-sub change
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 10-211010 Survey of Rehabilitation Care Survey Form 10-211010_RCS_Rehab Care Survey.docx No   Paper Only
Form VA Form 10-211013 HEC Enrollment Survey HEC Enrollment Survey 10-211013.pdf To Be Determined Yes Yes Fillable Fileable
Form VA Form 10-211004 Project ARCH Non-Participant Survey Project ARCH Non-Participant Survey 10-211004 (8-2013).pdf No   Paper Only

Health Health Care Services

 

1,155 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 1,328 0 0 0 0 1,328
Annual IC Time Burden (Hours) 271 0 0 0 0 271
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Survey of Rehabilitation Healthcare Services Generic Survey Request_RehabCare.docx 10/27/2013
HEC Enrollment Survey Generic_Request_HEC Enrollment Survey.docx 10/27/2013
Memo Request for 2900-0770 Project ARCH (Non-Participant survey) Non-substantive change OMB Memo for Project ARCH Survey Minor Change.pdf 11/12/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.