Information Collection

Survey of Veterans Perceptions of an Enhanced VA Outpatient Prescription Label

IC 202594 under ICR 201107-2900-001 · OMB 2900-0770.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 10-0549 Survey of Veterans Perceptions of an Enhanced VA Outpatient Prescription Label	Form
VA Form 10-0549 Rx Label Feedback Rx Label Feedback_10-0549.pdf URL to Be Determined	Form
VA Generic_Clearance_Submission_Template_Rx Label Project_04-25-12.docx Survey of Veterans Perceptions of an Enhanced VA Outpatient Prescription Label	IC Document

IC Title:

Survey of Veterans Perceptions of an Enhanced VA Outpatient Prescription Label

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 10-0549	Rx Label Feedback	Rx Label Feedback_10-0549.pdf	URL to Be Determined	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,600

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	5,600	5,600
Annual IC Time Burden (Hours)	373	373
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey of Veterans Perceptions of an Enhanced VA Outpatient Prescription Label	VA Generic_Clearance_Submission_Template_Rx Label Project_04-25-12.docx	06/06/2012

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