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

View Information Collection (IC)

Survey of Patient Satisfaction at Surgical Service
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 10-211015 No   Paper Only
Form VA Form 10-211015SP No   Paper Only

Health Health Care Services

 

1,825 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 1,825 0 0 0 0 1,825
Annual IC Time Burden (Hours) 608 0 0 0 0 608
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Request Surgical Patient Satisfaction Survey 1-2014 01/22/2014
Daily Schedule of Surgery Sample 01/22/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.