Information Collection

VEO Disability Compensation Survey / VE Outpatient Survey Questions Non-Sub Change Request

IC 228925 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⚠️ Notice: This information collection may be referencing outdated material.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
VEO Disability Compensation Survey Questions_v1.pdf To Be Determined	Other-Web-based Survey
VE OutpatientSurveyRatingScaleMeasure08032017.pdf E-mail Survey	Other-E-Survey
DisabilityCompensationSurvey_FTrack Request.docx VEO Disability Compensation Survey FT Request	IC Document
DisComp Sample Size.docx DisComp Sample Size	IC Document
WhitePaper_Non-Sub Change-VE Outpatient Survey Questions.docx WhitePaper_Non-Sub Change-VE Outpatient Survey Questions	IC Document
2900-0770 Justification_VE OutPat Appointment Scheduling SurveyJUN2017.docx 2900-0770 Justification_VE OutPat Appointment Scheduling SurveyJUN2017	IC Document

IC Title:

VEO Disability Compensation Survey / VE Outpatient Survey Questions Non-Sub Change Request

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-E-Survey			VE OutpatientSurveyRatingScaleMeasure08032017.pdf	E-mail Survey	Yes	Yes	Fillable Fileable
Other-Web-based Survey			VEO Disability Compensation Survey Questions_v1.pdf	To Be Determined	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 32,300

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	32,300	32,300
Annual IC Time Burden (Hours)	538	538
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
VEO Disability Compensation Survey FT Request	DisabilityCompensationSurvey_FTrack Request.docx	11/03/2017
DisComp Sample Size	DisComp Sample Size.docx	11/03/2017
WhitePaper_Non-Sub Change-VE Outpatient Survey Questions	WhitePaper_Non-Sub Change-VE Outpatient Survey Questions.docx	11/03/2017
2900-0770 Justification_VE OutPat Appointment Scheduling SurveyJUN2017	2900-0770 Justification_VE OutPat Appointment Scheduling SurveyJUN2017.docx	11/03/2017

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