Information Collection

Million Veteran Program (MVP) COVID-19 Survey

IC 244341 under ICR 202010-2900-015 · OMB 2900-0884.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MVP COVID-19 Survey 2.0_62 w Cover Sheet_edited_11022020.docx	Other-Survey
MVP COVID-19 Survey 2.0_62 w Cover Sheet_edited_11022020.docx	Other-Survey

IC Title:

Agency IC Tracking Number:

2900-NEW

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 38 CFR 16

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-Survey			MVP COVID-19 Survey 2.0_62 w Cover Sheet_edited_11022020.docx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000,000

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	4,000,000	4,000,000
Annual IC Time Burden (Hours)	1,666,667	1,666,667
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.