Information Collection

MHV Website Redesign, National Family Caregiver Survey, MEC Notification Survey

IC 214681 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⚠️ Notice: This information collection may be referencing outdated material.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 10-10114 MHV Website Redesign, National Family Caregiver Survey, MEC Notification Survey	Form and Instruction
10-10155 MEC Notification Survey MEC Notification Survey 092815.docx	Form and Instruction
10-10119 Caregiver Feedback Form 10-10119 Caregiver Feedback form_Self-Care Course.doc	Form and Instruction
10-10114 National Family Caregiver Participant Training Feedback National Family Caregiver Participant Training Feedback Form 10-10114.doc	Form and Instruction
VA Generic Fast-Track Clearance Request Complete - MHV Redesign - Final.pdf MHV Redesign - Final	IC Document

IC Title:

MHV Website Redesign, National Family Caregiver Survey, MEC Notification Survey

Agency IC Tracking Number:

2900-0770

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	Available Electronically?	Electronic Capability
Form and Instruction	10-10114	National Family Caregiver Participant Training Feedback Form	National Family Caregiver Participant Training Feedback Form 10-10114.doc	No	Fillable Printable
Form and Instruction	10-10155	MEC Notification Survey	MEC Notification Survey 092815.docx	No	Fillable Printable
Form and Instruction	10-10119	Caregiver Feedback Form	10-10119 Caregiver Feedback form_Self-Care Course.doc	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 42,029

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	42,029	42,029
Annual IC Time Burden (Hours)	5,084	5,084
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MHV Redesign - Final	VA Generic Fast-Track Clearance Request Complete - MHV Redesign - Final.pdf	09/22/2015

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