Information Collection

Focus Groups for attitudes, opinions, perceptions and awareness about VA

IC 204936 under ICR 201404-2900-002 · OMB 2900-0769.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Whitman Insight Strategies - Loved One - Family Screener for OMB - revised-11-26-12.docx	Other-Script
Whitman Insight Strategies - Veterans Screener For OMB - revised-11-26-12.docx	Other-Script
Veterans Focus Groups - Discussion Guide For OMB - revised-11-23-12.docx	Other-Focus groups
Influener Triads - Discussion Guide for OMB - revised-11-23-12.docx	Other-Discussion Guide
Generic_Clearance_Submission_Template_- OPIA-1.docx Generic Template	IC Document

IC Title:

Agency IC Tracking Number:

2900-0769

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.8(d)

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Script	Whitman Insight Strategies - Loved One - Family Screener for OMB - revised-11-26-12.docx	No	Paper Only
Other-Script	Whitman Insight Strategies - Veterans Screener For OMB - revised-11-26-12.docx	No	Paper Only
Other-Focus groups	Veterans Focus Groups - Discussion Guide For OMB - revised-11-23-12.docx	No	Paper Only
Other-Discussion Guide	Influener Triads - Discussion Guide for OMB - revised-11-23-12.docx	No	Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 66

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	66	66
Annual IC Time Burden (Hours)	57	57
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Template	Generic_Clearance_Submission_Template_- OPIA-1.docx	11/27/2012

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