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

View Information Collection (IC)

1. VISN 1 Outpatient Mental Health Patient Satisfaction Survey / 2. VE NCA Survey_Non-Sub Change 2900-0770
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Satisfaction Survey VISN 1 MH Survey with PRA Cover Letter.pdf To be determined Yes Yes Fillable Printable
Other-Phone Survey NCA Survey 05172018.docx Automated Phone Survey Yes Yes Fillable Fileable

Health Health Care Services

 

13,200 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 13,200 0 13,200 0 0 0
Annual IC Time Burden (Hours) 2,200 0 2,200 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Request_VISN 1 Mental Health VISN 1 MH Generic Clearance Submission_050818.doc 05/10/2018
White Paper NCA_Survey NonSubChange_ White Paper_NCA_Survey NonSubChange_05.17.18.docx 05/17/2018
2900-0770 NCA Survey Approval Notice 2900-0770 NCA Survey Approval Notice.pdf 05/17/2018
NCA Copy Deck NCA Copy Deck_5.04.18.docx 05/17/2018
Generic Clearance Request_VE NCA Phone Survey_11082017 Generic Clearance Request_VE NCA Phone Survey_11082017.docx 05/17/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.