Information Collection

Focus Groups for attitudes, opinions, perceptions and awareness about VA

IC 204936 under ICR 201102-2900-009 · OMB 2900-0769.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0769 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Whitman Insight Strategies - Loved One - Family Screener for OMB - revised-11-26-12.docx	Other-Script
Whitman Insight Strategies - Veterans Screener For OMB - revised-11-26-12.docx	Other-Script
Veterans Focus Groups - Discussion Guide For OMB - revised-11-23-12.docx	Other-Focus groups
Influener Triads - Discussion Guide for OMB - revised-11-23-12.docx	Other-Discussion Guide
Generic_Clearance_Submission_Template_- OPIA-1.docx Generic Template	IC Document

IC Title:

Focus Groups for attitudes, opinions, perceptions and awareness about VA

Agency IC Tracking Number:

2900-0769

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.8(d)

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Focus groups	Veterans Focus Groups - Discussion Guide For OMB - revised-11-23-12.docx	No	Paper Only
Other-Discussion Guide	Influener Triads - Discussion Guide for OMB - revised-11-23-12.docx	No	Paper Only
Other-Script	Whitman Insight Strategies - Veterans Screener For OMB - revised-11-26-12.docx	No	Paper Only
Other-Script	Whitman Insight Strategies - Loved One - Family Screener for OMB - revised-11-26-12.docx	No	Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 66

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	66	66
Annual IC Time Burden (Hours)	57	57
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Template	Generic_Clearance_Submission_Template_- OPIA-1.docx	11/27/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.