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

View Information Collection (IC)

Veterans Choice Program, Nationwide Dialysis Contracts, VLER User Survey, Healthcare User survey, Patient Experience of Care 2900-0770
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-0450 No   Fillable Printable
Form and Instruction 10-0455 No   Fillable Printable
Form and Instruction 10-0457 No   Fillable Printable
Form and Instruction 10-0552 No   Fillable Printable

Health Health Care Services

 

10,045 0
   
Individuals or Households
 
   0 %

  Approved 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 10,045 0 10,045 0 0 0
Annual IC Time Burden (Hours) 1,339 0 1,339 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Veterans Choice Program Fast Track Request 03/06/2015
Nationwide Dialysis Program Fast Track Request 03/06/2015
VLER Fast Track Request 03/06/2015
Generic Clearance Request - Patient Experience Survey 03/26/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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