Telephone Survey on User Experience and Satisfaction with the Virtual Lifetime Electronic Record (VLER) Health Data Exchange

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0770 can be found here:

Documents and Forms

Document Name Document Type
Provider-Interview-Guide_110701_v9_LM[1].docx Telephone survey Other-Interviewer Script
Veteran_(Patient)_Interview-Guide-v22-110701_LM[1].docx Telephone surveys Other-Interviewer Script
VLER__Generic_Clearance_Request_Form_LM_111103[1].docx Interviews on User Experience and Satisfaction with the Virtual Lifetime Electronic Record (VLER) Health Data Exchange IC Document
VLER_Methods for provider and patient interviews_110816.docx Methods for ?User Experience and Satisfaction with the Virtual Lifetime Electronic Record (VLER) Health Data Exchange IC Document

Information Collection (IC) Details

IC Title:	Telephone Survey on User Experience and Satisfaction with the Virtual Lifetime Electronic Record (VLER) Health Data Exchange	Agency IC Tracking Number:	2900-0770

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.8(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Interviewer Script			Provider-Interview-Guide_110701_v9_LM[1].docx	Telephone survey	No		Paper Only
Other-Interviewer Script			Veteran_(Patient)_Interview-Guide-v22-110701_LM[1].docx	Telephone surveys	No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 220	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	220	220
Annual IC Time Burden (Hours)	55	55
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Interviews on User Experience and Satisfaction with the Virtual Lifetime Electronic Record (VLER) Health Data Exchange	VLER__Generic_Clearance_Request_Form_LM_111103[1].docx	11/09/2011
Methods for ?User Experience and Satisfaction with the Virtual Lifetime Electronic Record (VLER) Health Data Exchange	VLER_Methods for provider and patient interviews_110816.docx	10/02/2011

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