Information Collection

Learner's Perception (LP) Survey

IC 44140 under ICR 200706-2900-036 · OMB 2900-0691.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0691 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-0439 Learner's Perception (LP) Survey	Form
10-0439 Learner's Perception survey LPS_Survey v2[1].doc www.va.gov/oaa/lpssurveys/login.asp?surveyid=4	Form

IC Title:

Learner's Perception (LP) Survey

Agency IC Tracking Number:

2900-0691

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10-0439	Learner's Perception survey	LPS_Survey v2[1].doc	http://www.va.gov/oaa/lpssurveys/login.asp?surveyid=4	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 9,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	9,000	9,000
Annual IC Time Burden (Hours)	2,250	2,250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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