OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

PTSD Family Caregiver Feedback/ARCH Focus Group/VA Courtesy Standards/PTSD Coach (Phone) Apps Survey

IC 205012 under ICR 201403-2900-007 · OMB 2900-0770.

Documents and Forms
Document Name
Document Type
Form
Other-Telephone Script
Instruction
Other-Focus Group Guide and Script
Other-Notification Letter
Form
Form
Form
Form
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

PTSD Family Caregiver Feedback/ARCH Focus Group/VA Courtesy Standards/PTSD Coach (Phone) Apps Survey
 
Modified
 
Voluntary
 
5 CFR 1320.8(d)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form VA Form 10-0495 Understanding PTSD for Family Caregivers: Feedback Survey PTSD and Family Caregivers Survey 10-0495.docx https://slu.qualtrics.com/SE/?SID=SV 7P6Zja6FxuVnhwF Yes Yes Fillable Fileable
Other-Telephone Script ARCH_Focus_Group_Telephone_Script_(2)[1].docx No   Paper Only
Instruction ARCH_Focus_Group_Discussion_Guide1.pdf No   Paper Only
Form VA Form 10-0497 VA Courtesy Standards - The Golden Rule Approach Veteran Feedback Form VA Courtesy Standards-Golden Rule Approach 10-0497.doc No   Paper Only
Form VA Form 10-0496 PTSD Coach App Survey PTSD Phone Apps Survey 10-0496_v3.pdf No   Paper Only
Other-Focus Group Guide and Script Phone_Apps_Focus_Group_Guide_and_Script_(v4)[1].docx No   Paper Only
Other-Notification Letter ARCH FocusGroup Letter.docx No   Paper Only
Form VA Form 10-0496a Phone Apps Focus Group Demographic Questionnaire Phone Apps_Focus Group Demographic Questionnaire (v5)(A).docx No   Paper Only

Health Health Care Services

 

4,420 0
   
Individuals or Households
 
   0 %

  Requested 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 4,420 0 0 0 0 4,420
Annual IC Time Burden (Hours) 1,353 0 0 0 0 1,353
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Feedback on Caregiver PTSD Training Generic_Request_PTSD_Caregiver_Training (v2).docx 12/06/2012
Project ARCH Focus Group Generic_Request_ARCH_FocusGroup[1].docx 12/10/2012
VA Courtesy Standards-Golden Rule Approach Generic_Request_VA Courtesy Standards.docx 12/04/2012
PTSD Phone Apps Focus Grp and Survey PTSD_Phone_Apps_Focus_Group-Survey_Submission_(v3).docx 12/11/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.