Information Collection

Barriers to Health Care for Women Veterans Survey

IC 204873 under ICR 202206-2900-019 · OMB 2900-0795.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Barriers to Health Care for Women Veterans Survey_2900-0795_draft_updated Oct 2022.docx	Other-Telephonic Script
Barriers to Health Care for Women Veterans Survey_2900-0795_draft_updated Oct 2022.docx	Other-Telephonic Script

IC Title:

Agency IC Tracking Number:

2900-0795

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-Telephonic Script			Barriers to Health Care for Women Veterans Survey_2900-0795_draft_updated Oct 2022.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,200

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	7,200	7,200
Annual IC Time Burden (Hours)	5,400	5,400
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.