Information Collection

Veterans Transportation Service (VTS) Veterans Satisfaction Questionnaire

IC 199589 under ICR 201403-2900-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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 10-0517 Veterans Transportation Service (VTS) Questionnaire Veterans Transportation Service (VTS) Veterans Satisfaction Questionnaire	Form
VA Form 10-0517 Veterans Transportation Service (VTS) Questionnaire VTS Questionnaire_VA Form 10-0517.docx	Form
VTS Questionnaire_Generic_Clearance_Submission (3).docx Veterans Transportation Service (VTS) Veterans Satisfaction Questionnaire	IC Document
Veterans Transportation (VTS) Cover Letter 7_2011.docx Veterans Transportation (VTS) Cover Letter	IC Document

IC Title:

Veterans Transportation Service (VTS) Veterans Satisfaction Questionnaire

Agency IC Tracking Number:

2900-0770

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.8(d)

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 10-0517	Veterans Transportation Service (VTS) Questionnaire	VTS Questionnaire_VA Form 10-0517.docx	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: 13,482

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	13,482	13,482
Annual IC Time Burden (Hours)	1,281	1,281
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Veterans Transportation Service (VTS) Veterans Satisfaction Questionnaire	VTS Questionnaire_Generic_Clearance_Submission (3).docx	10/07/2011
Veterans Transportation (VTS) Cover Letter	Veterans Transportation (VTS) Cover Letter 7_2011.docx	10/02/2011

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