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

View Information Collection (IC)

CBO-Veterans Point of Service; PACT Intensive Management Evaluation; Watson Caritas Patient Score
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-10168 No   Paper Only
Form and Instruction 10-10169 No   Paper Only
Form and Instruction 10-10170 No   Paper Only
Form and Instruction 10-10171 No   Fillable Printable
Form and Instruction 10-10172 No   Fillable Printable

Health Health Care Services

 

5,350 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 5,350 0 5,350 0 0 0
Annual IC Time Burden (Hours) 467 0 467 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Veteran Patient Satisfaction Generic Clearance 07/23/2015
Justification 10/09/2015
Watson's Caritas Generic Clearance Request 10/13/2015
PIM Generic Clearance Request 10/15/2015
Permission for Survey 12/07/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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