OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

VISN 20 Specialty Access Initiative-Video Follow-Up Visits for Obstructive Sleep Apnea Therapy

IC 232026 under ICR 201710-2900-001 · OMB 2900-0770.

Documents and Forms
Document Name
Document Type
Other-Interview Guide
IC Document
Information Collection (IC) Details

View Information Collection (IC)

VISN 20 Specialty Access Initiative-Video Follow-Up Visits for Obstructive Sleep Apnea Therapy 2900-0770
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview Guide VISN 20 Video Connect Veteran Guide.docx No   Paper Only

Health Health Care Services

 

50 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 50 0 50 0 0 0
Annual IC Time Burden (Hours) 38 0 38 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Clearance_VISN 20 Specialty Access OMB Generic Clearance Submission_VISN 20 Specialty Access.doc 07/03/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.