Information Collection

Va Consumer Feedback Card

IC 174626 under ICR 198011-2900-078 · OMB 2900-0268.

Documents and Forms

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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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,000	-2,890	5,890
Annual IC Time Burden (Hours)	269	-219	488
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.