Information Collection

VHA Childcare Services Satisfaction Survey

IC 229219 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 10-0531 VHA Childcare Services Satisfaction Survey	Form and Instruction
10-0531 Childcare Services Satisfaction Survey Childcare Services Satisfaction Survey 10-0531.docx	Form and Instruction
Child Care Services Survey Clearance Submission 11-21-2017.docx Generic Request_Childcare Services	IC Document

IC Title:

VHA Childcare Services Satisfaction Survey

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
Form and Instruction	10-0531	Childcare Services Satisfaction Survey	Childcare Services Satisfaction Survey 10-0531.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

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	1,000	1,000
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Request_Childcare Services	Child Care Services Survey Clearance Submission 11-21-2017.docx	11/30/2017

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