Information Collection

VA National Veterans Sports Programs and Special Events Surveys

IC 209677 under ICR 201705-2900-008 · OMB 2900-0818.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Web Survey: VA For VA National Veterans Sports Programs and Special Events Surveys	Form
Web Survey: VA For National Disabled Veterans Winter Sports Clinic (NDVWSC) NDVWSC VA Form 10107.pdf Survey Monkey: www.surveymonkey.com/myaccount_login.aspx	Form
Web Survey: VA For National Veterans Creative Arts Festival (NVCAF) NVCAF VA Form 10108.pdf Survey Monkey: www.surveymonkey.com/myaccount_login.aspx	Form
Web Survey: VA For National Veterans Golden Age Games (NVGAG) NVGAG VA Form 10109.pdf Survey Monkey: www.surveymonkey.com/myaccount_login.aspx	Form
Web Survey: VA For National Veterans Summer Sports Clinic (NVSSC) NVSSC VA Form 10110.pdf Survey Monkey: www.surveymonkey.com/myaccount_login.aspx	Form
Web Survey: VA For National Veterans TEE Tournament (NVTEE) NVTEE VA Form 10111.pdf Survey Monkey: www.surveymonkey.com/myaccount_login.aspx	Form
Web Survey: VA For National Veterans Wheelchair Games (NVWG) NVWG VA Form 10112.pdf Survey Monkey: www.surveymonkey.com/myaccount_login.aspx	Form

IC Title:

Agency IC Tracking Number:

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Web Survey: VA Form 10107	National Disabled Veterans Winter Sports Clinic (NDVWSC)	NDVWSC VA Form 10107.pdf	Survey Monkey: https://www.surveymonkey.com/myaccount_login.aspx	Yes	Yes	Fillable Fileable
Form	Web Survey: VA Form 10108	National Veterans Creative Arts Festival (NVCAF)	NVCAF VA Form 10108.pdf	Survey Monkey: https://www.surveymonkey.com/myaccount_login.aspx	Yes	Yes	Fillable Fileable
Form	Web Survey: VA Form 10109	National Veterans Golden Age Games (NVGAG)	NVGAG VA Form 10109.pdf	Survey Monkey: https://www.surveymonkey.com/myaccount_login.aspx	Yes	Yes	Fillable Fileable
Form	Web Survey: VA Form 10110	National Veterans Summer Sports Clinic (NVSSC)	NVSSC VA Form 10110.pdf	Survey Monkey: https://www.surveymonkey.com/myaccount_login.aspx	Yes	Yes	Fillable Fileable
Form	Web Survey: VA Form 10111	National Veterans TEE Tournament (NVTEE)	NVTEE VA Form 10111.pdf	Survey Monkey: https://www.surveymonkey.com/myaccount_login.aspx	Yes	Yes	Fillable Fileable
Form	Web Survey: VA Form 10112	National Veterans Wheelchair Games (NVWG)	NVWG VA Form 10112.pdf	Survey Monkey: https://www.surveymonkey.com/myaccount_login.aspx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,275

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	4,550	4,550
Annual IC Time Burden (Hours)	193	193
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.