Information Collection

SORCC - Veterans Satisfaction Survey of Spiritual Care Needs

IC 228706 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⚠️ Notice: This information collection may be referencing outdated material.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
2017_06.27_CH Service (VA SORCC - 692) Satisfaction Survey Clearance Submission.pdf	Other-Survey
2017_06.27_ CH Service Clearance Submission (VA SORCC - 692).pdf Generic Request_SORCC Spiritual Needs	IC Document

IC Title:

SORCC - Veterans Satisfaction Survey of Spiritual Care Needs

Agency IC Tracking Number:

2900-0770

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-Survey			2017_06.27_CH Service (VA SORCC - 692) Satisfaction Survey Clearance Submission.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Request_SORCC Spiritual Needs	2017_06.27_ CH Service Clearance Submission (VA SORCC - 692).pdf	10/18/2017

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