Information Collection

VA NCA Online and Telephone Survey Education Program Research

IC 216784 under ICR 201505-2900-017 · OMB 2900-0841.

Documents and Forms

Document Name Document Type
Form VA Form 40-10166 VA NCA Online and Telephone Survey Education Program Research Form and Instruction
VA Form 40-10166 Questionnaire for Online / Telephone Survey of Non-Acade VA Form 40-10166 Online Survey of Non-Academic Audiences_1.pdf link to ADRG website TBD Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	VA NCA Online and Telephone Survey Education Program Research	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 40-10166	Questionnaire for Online / Telephone Survey of Non-Academic Audiences	VA Form 40-10166 Online Survey of Non-Academic Audiences_1.pdf	link to ADRG website TBD	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	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.