Information Collection

VA and DoD Digital services Brand Survey

IC 228030 under ICR 201404-2900-002 · OMB 2900-0769.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
VA_Atlas_BD_SurveyQuestions_20170823_FINAL.docx Email submission	Other-Email Survey
VE Branding Survey - OMB No2900-0769_082317_150BH.DOCX VA DoD Digital Services Brand Survey	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Email Survey			VA_Atlas_BD_SurveyQuestions_20170823_FINAL.docx	Email submission	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
VA DoD Digital Services Brand Survey	VE Branding Survey - OMB No2900-0769_082317_150BH.DOCX	08/24/2017

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