30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson

E-Government Website Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Document Name Document Type
Form 30820 Q VAMyHealth 30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson Form and Instruction
30820 Q VAMyHealth 30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nels 30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson.xlsx Form and Instruction
30820 Q VAMyHealth 30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nels 30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson.xlsx Form and Instruction
1090-0008 Generic Clearance Request Form MyHealtheVet Desktop January 21 2022.pdf 1090-0008 Generic Clearance Request Form MyHealtheVet Desktop January 21 2022 IC Document
1090-0008 Generic Clearance Request Form MyHealtheVet Desktop January 21 2022.pdf 1090-0008 Generic Clearance Request Form MyHealtheVet Desktop January 21 2022 IC Document
1090-0008 Survey Mapping Document (VHA) IA 30820 Desktop - Jan 07 2022.xlsx 1090-0008 Survey Mapping Document (VHA) IA 30820 Desktop - Jan 07 2022 IC Document
1090-0008 Survey Mapping Document (VHA) IA 30820 Desktop - Jan 07 2022.xlsx 1090-0008 Survey Mapping Document (VHA) IA 30820 Desktop - Jan 07 2022 IC Document

Information Collection (IC) Details

IC Title:	30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson	Agency IC Tracking Number:	30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chri

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chri	30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson	30820 Q VAMyHealtheVet Web Browse_1-5-2022 by Chris Nelson.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	70,000	70,000
Annual IC Time Burden (Hours)	3,500	3,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
1090-0008 Generic Clearance Request Form MyHealtheVet Desktop January 21 2022	1090-0008 Generic Clearance Request Form MyHealtheVet Desktop January 21 2022.pdf	01/28/2022
1090-0008 Survey Mapping Document (VHA) IA 30820 Desktop - Jan 07 2022	1090-0008 Survey Mapping Document (VHA) IA 30820 Desktop - Jan 07 2022.xlsx	01/28/2022

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