Information Collection

Patient Satisfaction Survey (pss) And Food Service And Nutritional Care Analysis

IC 147663 under ICR 199205-2900-006 · OMB 2900-0227.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0227 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	PATIENT SATISFACTION SURVEY (PSS) AND FOOD SERVICE AND NUTRITIONAL CARE ANALYSIS	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	No	No
Form	10-1465D-H	No	No
Form	J, 10-5387	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 745,600	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	745,600	0	745,600
Annual IC Time Burden (Hours)	105,920	-203	106,123
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.