Survey of Covered Entities under Section 602 of the Veterans Health Care Act of 1992

ICR 199702-0915-003

OMB: 0915-0213

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0915-0213 199702-0915-003
Historical Active
HHS/HSA
Survey of Covered Entities under Section 602 of the Veterans Health Care Act of 1992
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/17/1997
Retrieve Notice of Action (NOA) 02/27/1997
This information collection is approved for three years. This information collection is designed primarily to measure customer satisfaction, but also has a component designed to evaluate the success of the program and determine ways in which it could be redesigned to be more effective. Although portions of this information collection are authorized by E.O. 12862, the collecti on is not approved under this authority.
  Inventory as of this Action Requested Previously Approved
04/30/2000 04/30/2000
1,508 0 0
377 0 0
0 0 0

Collection of the information obtained from this survey will permit the Office of Drug Pricing to evaluate the magnitude of any program problems, design appropriate outreach measures, and improve service to covered entities.

None
None


No

1
IC Title Form No. Form Name
Survey of Covered Entities under Section 602 of the Veterans Health Care Act of 1992

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,508 0 0 1,508 0 0
Annual Time Burden (Hours) 377 0 0 377 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
02/27/1997


© 2024 OMB.report | Privacy Policy