Information Collection

Veterans Experience Agency Priority Goal (APG) Trust Phone Survey

IC 228570 under ICR 201710-2900-001 · OMB 2900-0770.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0770 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
APG Survey Coverage and Nonresponse Bias Follow Up Survey_v6 (3).docx Phone Survey	Other-Phone Survey
APG Phone Survey Fast Track Request_083117.docx APG Phone Survey Fast-Track Request	IC Document
The Coverage and Nonresponse Bias Follow Up for Veteran Experience Trust....docx Coverage and Nonresponse Bias Follow Up Study	IC Document

IC Title:

Veterans Experience Agency Priority Goal (APG) Trust Phone Survey

Agency IC Tracking Number:

IC Status: New

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
Other-Phone Survey			APG Survey Coverage and Nonresponse Bias Follow Up Survey_v6 (3).docx	Phone Survey	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
APG Phone Survey Fast-Track Request	APG Phone Survey Fast Track Request_083117.docx	10/05/2017
Coverage and Nonresponse Bias Follow Up Study	The Coverage and Nonresponse Bias Follow Up for Veteran Experience Trust....docx	10/05/2017

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