Learner's Perception (LP) Survey

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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: 14,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	14,000	5,000	9,000
Annual IC Time Burden (Hours)	3,500	1,250	2,250
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.