View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 2900-0712	ICR Reference No: 201601-2900-013
Status: Historical Inactive	Previous ICR Reference No: 201312-2900-022
Agency/Subagency: VA	Agency Tracking No: 2900-0712
Title: Nation-wide Customer Satisfaction Surveys (Survey of Healthcare Experiences of Patients (SHEP)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 02/04/2016
	Date Received in OIRA: 01/19/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	03/31/2017	03/31/2017
Responses	511,000	0	511,000
Time Burden (Hours)	104,900	0	104,900
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Nation-wide Customer Satisfaction Surveys	VA Form 10-1465-1, VA Form 10-1465-3, VA Form 10-1465-7, VA Form 10-1465-4, VA Form 10-1465-5, VA Form 10-1465-6, VA Form 10-1465-8, VA Form 10-1465-9, VA Form 10-1465-2	, , , , , , , ,

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.