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

View Information Collection (IC)

1_Spinal Cord Injury Survey__2_Non-Sub Change-Veterans Experience Access (VE Outpatient Survey) Scheduling Appointment 2900-0770
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-0515 Spinal Cord Injury Patient Care Survey Spinal Cord Injury Patient Care Survey.doc No   Paper Only
Other-E-Survey VEOutpatientSurvey_OMB02.26.18.pdf •Appointments - https://survey.voice.medallia.com/?va-trx-apt •Healthcare - https://survey.voice.medallia.com/?va-trx-healthcare •Labs - https://survey.voice.medallia.com/?va-trx-lab •Pharmacy - https://survey.voice.medallia.com/?va-trx-pharmacy •Pharmacy Mail - https://survey.voice.medallia.com/?va-trx-pharmacy-mail Yes Yes Fillable Fileable

Health Health Care Services

 

80 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 80 0 80 0 0 0
Annual IC Time Burden (Hours) 13 0 13 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Request_Spinal Cord Injury Generic Clearance_Spinal Cord Injury.doc 02/14/2018
White Paper_NonSubChange VE Outpatient Survey White Paper_NonSubChange OutpatientSrvy_02.20.18.docx 03/05/2018
2017 NOA for VE Outpatient Generic 2900-0770 Clearance 2017 NOA for VEOutpatient Generic 2900-0770.pdf 03/05/2018
Justification_VE OutPat Appointment Scheduling SurveyJUN2017 Justification_VE OutPat Appointment Scheduling SurveyJUN2017.docx 03/05/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.