Information Collection

Evaluation of VAs Vocational Rehabilitation and Employment (VR&E) Program

IC 187973 under ICR 200902-2900-002 · OMB 2900-0735.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Participants Questionnaire.docx	Other-Survey
Non-participants Questionnaire.docx	Other-Survey
Dependent Interview Protocol.doc	Other-Telephone Interview
VRE VA Contractor Counselor Questionnaire V2 May09.doc	Other-Web Survey

IC Title:

Evaluation of VAÂs Vocational Rehabilitation and Employment (VR&E) Program

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	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Participants Questionnaire.docx	To be determined	Yes	Yes	Fillable Fileable
Other-Survey	Non-participants Questionnaire.docx	To be determined	Yes	Yes	Fillable Fileable
Other-Telephone Interview	Dependent Interview Protocol.doc		No		Paper Only
Other-Web Survey	VRE VA Contractor Counselor Questionnaire V2 May09.doc	To be determined	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25,240

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25,240	25,240
Annual IC Time Burden (Hours)	10,118	10,118
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.