VHA Mental Health Residential Rehabilitation and Treatment Programs (MHRRTP) Veterans Satisfaction Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VA Form 10-0466 Mental Health Residential Rehabilitation and Treatment Programs Veterans Satisfaction Survey	Form	New	Repair queued
Withdrawal request.doc	Supplementary Document	Uploaded 2010-04-20	Repair queued
VA Form 10-0466.doc	Supporting Statement A	Uploaded 2009-04-20	Repair queued
Justification B (v2).doc	Supporting Statement B	Uploaded 2008-12-31	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187695	Mental Health Residential Rehabilitation and Treatment Programs Veterans Satisfaction Survey	Form	New

ICR Details

OMB Control No:	ICR Reference No: 200812-2900-019
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: VHA Mental Health Residential Rehabilitation and Treatment Programs (MHRRTP) Veterans Satisfaction Survey
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 04/21/2010
	Date Received in OIRA: 04/22/2009
Terms of Clearance: Withdrawn per the Department of Veterans Affairs request included in the public docket.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: As part of an on-going effort to improve VHA Mental Health Residential Rehabilitation and Treatment Programs (MHRRTP), VA has mandated all MHRRTPs to achieve and maintain accreditation by the Commission on Accreditation of Rehabilitation Facilities (CARF). CARF standards are internationally recognized as promoting the delivery of quality rehabilitation services for people with disabilities. Programs accredited by CARF are committed to continually improving their programs and service delivery to the individuals served by collecting information on ongoing program operations. VA has enlisted the assistance of the Northeast Program Evaluation Center (NEPEC) to develop and implement a national program evaluation strategy that will meet CARF requirements. VA has made a major commitment to fostering “recovery” through its mental health programs and this measure is the first that will track the development of recovery-oriented values in VA programs and recovery attitudes among veterans.

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Authorizing Statute(s): US Code: 38 USC Part 1, Chapter 5, Section 527 Name of Law: Veterans Benefits-Evaluation and Data Collection
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 15	01/26/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 63	04/03/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Mental Health Residential Rehabilitation and Treatment Programs Veterans Satisfaction Survey	VA Form 10-0466	VHA Mental Health Residential Rehabilitation and Treatment Programs (MHRRTP)

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection and all burden hours are considered a program increase.

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Annual Cost to Federal Government: $40,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/22/2009

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