View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	VA Maternity Care Coordination (MCC) - Postpartum Patient Satisfaction Survey	Agency IC Tracking Number:	VHA-2900-0876

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	2900-0876	MCC Survey	2900-0876_VA Maternity Care Coord (MCC) - Postpartum Patient Satis Survey_rev Jul 2025 OMB rev.docx		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 VA Beneficiary Survey Records (43VA008)	FR Citation: 86 FR 6992

Number of Respondents: 3,000	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	3,000	0	3,000	0	0	0
Annual IC Time Burden (Hours)	750	0	750	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
SS - 2900-0876 - Maternity Care Corrdination (MCC) - Postpartum Patient Satis Survey - rev Jun 2025	SS_2900-0876_A11 Section 280 Clearance_MCC - Postpartum Patient Satis Survey_rev Jun 2025.docx	06/27/2025
2900-0876 - Memorandum - MCC PP Survey - VEO PSA approval - 06182025	2900-0876_Memorandum_MCC PP Survey_VEO PSA approval_06182025.pdf	06/20/2025

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