View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Clinical Contact Center Survey-Update Burden	Agency IC Tracking Number:

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
Other-Survey Instrument			Clinical Contact Center Survey Instrument.pdf		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Veterans, Dependents of Veterans, and Veteran Beneficiaries	FR Citation: 86 FR 6992

Number of Respondents: 13,400	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	13,400	0	13,400	0	0	0
Annual IC Time Burden (Hours)	893	0	893	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Clinical Contact Center Survey	ICR Template_A11 Section 280 Clearance ECCC Clinical Care.docx	07/21/2023
Clinical Contact Center Sample Plan	Service Level Measurement -ECCC Clinical Care 071423.docx	07/21/2023

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