Information Collection

Va Consumer Feedback Card

IC 147849 under ICR 198002-2900-008 · OMB 2900-0268.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0268 can be found here:

Documents and Forms

Document Name Document Type

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Information Collection (IC) Details

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IC Title:	VA CONSUMER FEEDBACK CARD	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	VA 20-8843U	No	No
Form	07-9968	No	No
Form	(A) & (B)	No	No
Form	40-9970(NR)	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,890	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,890	1,500	4,390
Annual IC Time Burden (Hours)	488	124	364
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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