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Survey of Veteran Enrollees' Health and Use of Health Care
Survey of Veteran Enrollees' Health and Use of Health Care
OMB: 2900-0609
IC ID: 28855
OMB.report
VA
OMB 2900-0609
ICR 202409-2900-001
IC 28855
( )
Documents and Forms
Document Name
Document Type
2900-0609_VA Survey of Veteran Enrollees' Health and Use of Health Care_revised Sep 2024.docx
Other-Survey
Survey of Enrollees_2900-0609_Summary of Changes beginning in 2025.docx
Summary of Changes to Survey of Enrollees_2900-0609_Sep 2024
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Survey of Veteran Enrollees' Health and Use of Health Care
Agency IC Tracking Number:
2900-0609
Is this a Common Form?
No
IC Status:
Modified
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
Other-Survey
2900-0609_VA Survey of Veteran Enrollees' Health and Use of Health Care_revised Sep 2024.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
97VA105, “Consolidated Data Information System-VA
FR Citation:
72 FR 46130
Number of Respondents:
40,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
40,000
0
-2,000
0
0
42,000
Annual IC Time Burden (Hours)
13,333
0
-667
0
0
14,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Summary of Changes to Survey of Enrollees_2900-0609_Sep 2024
Survey of Enrollees_2900-0609_Summary of Changes beginning in 2025.docx
10/04/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.