Health Eligibility Center (HEC) Correspondence Satisfaction Letter and Customer Modality Survey

Health Eligibility Center (HEC) Correspondence Satisfaction Letter and Customer Modality Survey

OMB: 2900-0761

IC ID: 189770

Information Collection (IC) Details

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Health Eligibility Center (HEC) Correspondence Satisfaction Letter and Customer Modality Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 10-0151 Customer Modality Administrative Survey Customer Modality Survey.pdf To Be Determined Yes Yes Fillable Fileable
Other-Web Survey HEC Online Survey.pdf To Be Determined Yes Yes Fillable Fileable

Health Health Care Services

 

222,740 0
   
Individuals or Households
 
   75 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 383,301 0 383,301 0 0 0
Annual IC Time Burden (Hours) 95,227 0 95,227 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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