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

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.