Information Collection

Women Veterans Healthcare Barriers

IC 204873 under ICR 201310-2900-008 · OMB 2900-0795.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0795 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Womens Barriers Survey Script (v3).docx	Other-Telephonic Script

IC Title:

Women Veterans Healthcare Barriers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Other-Telephonic Script			Womens Barriers Survey Script (v3).docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,400

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	Previously Approved
Annual Number of Responses for this IC	8,400	8,400
Annual IC Time Burden (Hours)	5,600	5,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.