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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.