Information Collection

Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom Veterans

IC 191043 under ICR 200910-2900-003 · OMB 2900-0765.

Documents and Forms

Document Name Document Type
Form VA Form 10-0478 Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom Veterans Form and Instruction
VA Form 10-0478 Health Care Use Survey for Enduring Freedom and Operatio VA Form 10-0478_Health-Care Use Survey (v4)[1].pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom Veterans	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 and Instruction	VA Form 10-0478	Health Care Use Survey for Enduring Freedom and Operation Iraqi Freedom Veterans	VA Form 10-0478_Health-Care Use Survey (v4)[1].pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Veteran, Patient, Employee and Volunteer Research and Development Project Records - VA (34VA11)	FR Citation: 40 FR 38095

Number of Respondents: 1,410	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,410	1,410
Annual IC Time Burden (Hours)	1,058	1,058
Annual IC Cost Burden (Dollars)	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.