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Federal forms, ICRs, and supporting documents

Information Collection

Veterans Millennium Act Emergency Care Benefit Satisfaction Survey

IC 225627 under ICR 201403-2900-007 · OMB 2900-0770.

Documents and Forms
Document Name
Document Type
Other-Survey
Other-Survey Invitation
Other-Survey Reminder Letter
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Veterans Millennium Act Emergency Care Benefit Satisfaction Survey 2900-0770
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Veterans Millennium Act Emergency Care Benefit Satisfaction Survey Instrument 20170202.pdf https://www.va.gov/communitycare Yes Yes Fillable Printable
Other-Survey Invitation SURVEY INVITATION - Millennium Act.docx No   Paper Only
Other-Survey Reminder Letter Survey Reminder Letter - Millennium Act.docx No   Paper Only

Health Health Care Services

 

2,000 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 2,000 0 2,000 0 0 0
Annual IC Time Burden (Hours) 233 0 233 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Request - Millennium Act Veterans Millennium Act Emergency Care Benefit Satisfaction Survey ICR 20170202.docx 02/13/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.