Information Collection

Department of Veterans Affairs Supplier Perception Survey (SPS)

IC 191046 under ICR 201503-2900-004 · OMB 2900-0751.

Documents and Forms

Document Name Document Type
Form VA Form 10165 Department of Veterans Affairs Supplier Perception Survey (SPS) Form and Instruction
VA Form 10165 U.S. Department of Veterans Affairs Supplier Perception SPS Survey Form 10165_FY15 4_22_15.docx To be determined via contractor - contractor will provide link. Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Department of Veterans Affairs Supplier Perception Survey (SPS)	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

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 and Instruction	VA Form 10165	U.S. Department of Veterans Affairs Supplier Perception Survey 2015	SPS Survey Form 10165_FY15 4_22_15.docx	To be determined via contractor - contractor will provide link.	Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,500	-44,340	45,840
Annual IC Time Burden (Hours)	750	-34,350	35,100
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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