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ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
VISN 20 Cancer Care Survey, VA Research Currents
Agency IC Tracking Number:
2900-0770
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
VA Form 10-10164
VISN 20 Cancer Care Survey
VISN20 Cancer Care Survey_Veteran Satisfaction 081815.docx
No
Paper Only
Form and Instruction
VA Form 10-10167
Customer Satisfaction Survey on VA Research Communication, VA Research Currents
VA Research Currents Reader Survey Final (092815).docx
TBD
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3,204
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,204
0
3,204
0
0
0
Annual IC Time Burden (Hours)
260
0
260
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CCNT Edited Clean Version
fast-track-PRA-submission-short-form CCNT Edited 092315 CLEAN.doc
10/06/2015
Research Currents ORD Edited 092315
Generic_Clearance_Submission_VHA_ORD Edited 092315 CLEAN.doc
10/06/2015
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.