Information Collection

Vocational Rehabilitation & Employment (VRE) Servicing Survey Instrument

IC 220591 under ICR 201606-2900-003 · OMB 2900-0782.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
VBA_VRE_Servicing questionnaire_Revised for FY17_Clean_07.12.16.docx	Other-Electronic Survey Instrument
VA_CL10_VR&ESvc_06.22.16.pdf	Other-Cover Letter
VA_Surv10_VRESvc_5.17.16.pdf	Other-Mail Survey Instrument

IC Title:

Agency IC Tracking Number:

2900-0782-VBA-BAS

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Electronic Survey Instrument	VBA_VRE_Servicing questionnaire_Revised for FY17_Clean_07.12.16.docx	No	Paper Only
Other-Cover Letter	VA_CL10_VR&ESvc_06.22.16.pdf	No	Paper Only
Other-Mail Survey Instrument	VA_Surv10_VRESvc_5.17.16.pdf	No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 18,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	18,000	18,000
Annual IC Time Burden (Hours)	4,500	4,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.