Information Collection

Mental Health Residential Rehabilitation and Treatment Programs Veterans Satisfaction Survey

IC 187695 under ICR 200812-2900-019 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 10-0466 Mental Health Residential Rehabilitation and Treatment Programs Veterans Satisfaction Survey	Form
VA Form 10-0466 VHA Mental Health Residential Rehabilitation and Treatme MHRRTP Survey 1-09.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	VA Form 10-0466	VHA Mental Health Residential Rehabilitation and Treatment Programs (MHRRTP)	MHRRTP Survey 1-09.pdf		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 34,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	34,000	34,000
Annual IC Time Burden (Hours)	8,500	8,500
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.