VA Cooperative Studies Program (CSP) Customer Satisfaction Survey

Cooperative Studies Program (CSP): Site Survey and Meeting Evaluation

Documents and Forms

Document Name Document Type
Form 10-10074 VA Cooperative Studies Program (CSP) Customer Satisfaction Survey Form and Instruction
10-10074 CSP Customer Satisfaction Survey CSP_Customer Satisfaction Survey_092717.docx Form and Instruction

Information Collection (IC) Details

IC Title:	VA Cooperative Studies Program (CSP) Customer Satisfaction Survey	Agency IC Tracking Number:	2900-0772

Is this a Common Form? No		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	10-10074	CSP Customer Satisfaction Survey	CSP_Customer Satisfaction Survey_092717.docx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	83	83
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.