APPROVED WITH
CONDITIONS. ITEMS 69,70 AND 71 ON THE INPATIENT FORM, AND 40,41 AND
42 ON THE OUTPATIENT FORM MUST BE DELETED. SUBJECTIVE REPORTS OF
AGENT ORANGE EXPOSURE HAVE BEEN DEMONSTRATED TO BE INVALID.
Inventory as of this Action
Requested
Previously Approved
11/30/1985
11/30/1985
37,500
0
0
7,980
0
0
0
0
0
THIS SURVEY IS USED TO PERIODICALLY
OBTAIN CONSUMER INPUT ON SATISFACTION WITH SERVICES PROVIDED.
RESULTS ARE USED TO MONITOR FACILITY PERFORMANCE ACCORDING TO
(TENTATIVE) STANDARDS ESTABLISHED WITHIN DM&S. FIELD FACILITIES
ARE ABLE TO COMPARE THEIR PERFORMANCE LONGITUDINALLY AND TO SEE
THEIR RELATIVE STANDING AMONG COMPARABLE FACILITIES.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.