Survey of Healthcare Experiences of Patients -- Dental Care Patient Satisfaction Survey

Survey of Healthcare Experiences of Patients -- Dental Care Patient Satisfaction Survey (DPSS)

OMB: 2900-0764

IC ID: 192326

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Online Script
Other-Online Script
Other-Screenshots
Other-Screenshots
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Survey of Healthcare Experiences of Patients -- Dental Care Patient Satisfaction Survey 2900-0764
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-10070 Dental Care Patient Satisfaction Survey (DPSS) Survey of Healthcare Experiences of Patients - Dental Care Patient Satisfaction Survey_2900-0764_2024.docx No   Paper Only
Other-Online Script Dental Patient Satis Survey_DPSS_Online Survey_client script_2024.docx No   Paper Only
Other-Screenshots VA Dental Care Patient Satisfaction Survey (DPSS)_Online Screenshots_Oct 2024.pptx Yes Yes Fillable Fileable

Health Health Care Services

 

50,400 0
   
Individuals or Households
 
   0 %

  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 50,400 0 0 0 0 50,400
Annual IC Time Burden (Hours) 12,600 0 0 0 0 12,600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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