Information Collection

Vietnam-Era Veterans Follow-up Telephone Survey

IC 231813 under ICR 201806-2900-003 · OMB 2900-0873.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Phone survey updated 5.23.18.pdf	Other-Phone Survey
CATI Intro to Vietnam-Era Veterans Follow-up Telephone Survey_OMB passback revisions_8.9.19.docx	Other-Script

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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-Phone Survey			Phone survey updated 5.23.18.pdf		No		Paper Only
Other-Script			CATI Intro to Vietnam-Era Veterans Follow-up Telephone Survey_OMB passback revisions_8.9.19.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: Veteran, Patient, Employee and Volunteer Research and Development Project Records-VA (34VA12)

FR Citation: 59 FR 16705

Number of Respondents: 3,650

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	3,650	3,650
Annual IC Time Burden (Hours)	2,738	2,738
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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