OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 199627 under ICR 201107-2900-001 · OMB 2900-0770.

Documents and Forms
Document Name
Document Type
Other-Interviewer Script
Other-Interviewer Script
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Telephone Survey on User Experience and Satisfaction with the Virtual Lifetime Electronic Record (VLER) Health Data Exchange 2900-0770
 
New
 
Voluntary
 
5 CFR 1320.8(d)

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

Health Health Care Services

 

220 0
   
Individuals or Households
 
   0 %

  Approved 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 220 0 220 0 0 0
Annual IC Time Burden (Hours) 55 0 55 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.