OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Shared Decision Making

IC 220531 under ICR 201403-2900-007 · OMB 2900-0770.

Documents and Forms
Document Name
Document Type
Other-Veteran Telephone Script
Other-Caregiver Telephone Script
Other-Glossary
Other-Phone Interview Script
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Shared Decision Making
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Veteran Telephone Script Veteran SDM Questionnaire 03March2016.docx No   Paper Only
Other-Caregiver Telephone Script Caregiver SDM Questionnaire 03March2016.docx No   Paper Only
Other-Glossary Glossary - short 090215.docx No   Paper Only
Other-Phone Interview Script Phone Interview Contact Script 082515.docx No   Paper Only

Health Health Care Services

 

150 0
   
Individuals or Households
 
   0 %

  Approved 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 150 0 150 0 0 0
Annual IC Time Burden (Hours) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Clearance Request VA Shared Decision Making Generic Clearance - Taylor 111615.docx 03/10/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.