Information Collection

PSTAP Assessment Survey

IC 232833 under ICR 202002-2900-012 · OMB 2900-0864.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0864 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
VA_PSTAP Assessment_Survey_02.1.18.docx www.VA_PSTAP_Assessment_Survey_02.1.18.docx	Other-Assessment Survey
PSTAP Cross-Sectional Item Matrix 3-13-19.xlsx PSTAP Cross-Sectional Matrix	IC Document

IC Title:

PSTAP Assessment Survey

Agency IC Tracking Number:

2900-0864

Is this a Common Form? No

IC Status: Modified

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-Assessment Survey			VA_PSTAP Assessment_Survey_02.1.18.docx	www.VA_PSTAP_Assessment_Survey_02.1.18.docx	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: Veterans Affairs/Department of Defense Identity Repository (VADIR)-VA

FR Citation: 84 FR 19748

Number of Respondents: 40,915

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40,915	40,915
Annual IC Time Burden (Hours)	12,615	12,615
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PSTAP Cross-Sectional Matrix	PSTAP Cross-Sectional Item Matrix 3-13-19.xlsx	04/02/2019

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