Information Collection

VCP Community Organization Needs Assessment Survey

IC 269656 under ICR 202307-2900-013 · OMB 2900-0770.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0770 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
VCP Community Organization Needs Assessment Survey_2900-0770_revised Jun 2024.docx	Other-Survey
Generic Supporting Statement_2900-0770_VCP Community Organization Needs Assessment Survey_updated Jun 2024.docx Generic Supp Statement - VCP Community Organization Needs Assessment Survey - 2900-0770 - updated Jun 2024	IC Document

IC Title:

VCP Community Organization Needs Assessment Survey

Agency IC Tracking Number:

VHA-2900-0770

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-Survey					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Supp Statement - VCP Community Organization Needs Assessment Survey - 2900-0770 - updated Jun 2024		07/29/2024

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

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