View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	VA Mission Statement Survey	Agency IC Tracking Number:	2900-0876-VA Mission Statement Survey

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 Mission Statement Survey	VA Mission Statement Survey	Feb2022 VA Mission Statement Survey.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	50,000	0	50,000	0	0	0
Annual IC Time Burden (Hours)	833	0	833	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
A-11 Fast-Track Clearance Request VA Mission_Feb2022	A-11 Fast-Track Clearance Request VA Mission_Feb2022.pdf	02/17/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.