VA Loma Linda Healthcare System CBOC Clinics - Patient Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

OMB: 2900-0770

IC ID: 237471

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

View Information Collection (IC)

VA Loma Linda Healthcare System CBOC Clinics - Patient Satisfaction Survey 2900-0770
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Loma Linda HC Sys CBOC Clinics_Patient Satis Survey_2019.docx No   Paper Only
Other-Survey Loma Linda HC System_CBOC Clinics_Patient Satis Survey_OMB passback revisions_01282020.docx No   Paper Only

Health Health Care Services

 

1,200 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 1,200 0 1,200 0 0 0
Annual IC Time Burden (Hours) 100 0 100 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supp Stmnt - Loma Linda CBOC Clinics Patient Satis Survey - 2019 Generic Supp Statement_Loma Linda CBOC Clinics_Patient Satis Survey_revised Oct 2019.doc 11/20/2019
Generic Supporting Statement - Revised Generic Supp Statement_Loma Linda CBOC Clinics_Patient Satis Survey_OMB passback revisions_Jan 2020.docx 01/28/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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