Cooperative Studies Program

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⚠️ Notice: This information collection may be referencing outdated material.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 10-1500197(WS) Cooperative Studies Program Form
10-1500196(WS) DMC Survey DMC Survey w cover page.docx Form and Instruction
10-1500197(WS) CSPCC Study Chairperson and NSC Survey CSPCC Study Chairperson and NSC Survey - complete with cover 122315.docx Form
Generic Clearance Submission - DMC and SC NSC Surveys.docx Generic Clearance Request IC Document

Information Collection (IC) Details

IC Title:	Cooperative Studies Program	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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10-1500197(WS)	CSPCC Study Chairperson and NSC Survey	CSPCC Study Chairperson and NSC Survey - complete with cover 122315.docx		Yes	No	Fillable Printable
Form and Instruction	10-1500196(WS)	DMC Survey	DMC Survey w cover page.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 105	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	105	105
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Request	Generic Clearance Submission - DMC and SC NSC Surveys.docx	12/08/2015

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