Information Collection Request

Clearance for A-11 Section 280 Improving Customer Experience Information Collection

ICR 202503-2900-010 · OMB 2900-0876 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2900-0876 Teleheal 2900-0876 Telehealth Remote Patient Monitoring Form and Instruction New Repair queued
Form 2900-0876 OSDBU Ex 2900-0876 OSDBU Exhibition Form and Instruction New Available
Form 2900-0876 OSDBU Ev 2900-0876 Office of Small & Disadvantaged Business Utilization Event Surveys Event Form and Instruction New Available
Form VA DIC VA DIC Form and Instruction New Available
Form 6 Month After Fina 6 Month After Final Accounting Form and Instruction New Available
Form Grant Approval Grant Approval Form and Instruction New Available
Form 2900-0876 Office o 2900-0816 Office of Community Care – SEOC Survey Form and Instruction New Available
Form Healthy Teaching K Healthy Teaching Kitchen CR 001 Form and Instruction New Available
Form SAMS Survey WF 001 SAMS Survey WF 001 Form and Instruction New Repair queued
Form VBA DC Non-Rating VBA DC Non-Rating Claims Survey Form and Instruction New Available
Form MDEO - Getting the MDEO - Getting the Exam Form and Instruction New Available
Form 2900-0876 VA Kids 2900-0876 VA Kids Care Form and Instruction New Available
Form VA Call Center Exp VA Call Center Experience and Expectations Survey WF response 5 14 25 Form and Instruction New Available
Form 2900-0876 VA Pilot Support Survey Form and Instruction New Available
Form 2900-0876 MCC Survey Form and Instruction New Available
Form Diabetes Self-Mana Diabetes Self-Management Education and Support Ad Hoc WF Form and Instruction New Repair queued
Form Telehealth Emergen Telehealth Emergency Medicine Survey Update WF Form and Instruction New Available
Form 2900-0876 VBA Finance Center Survey Form and Instruction New Available
Form 2900-0876 CXPA Vet CXPA Veteran Enrollment Survey Form and Instruction New Available
Form 2900-0876 Pact Act TES WF Survey Form and Instruction New Available
Form Sleep Study Ad Hoc Sleep Study Ad Hoc WF Form and Instruction New Available
Form CCICM Ad Hoc WF 03 CCICM Ad Hoc WF 032725 Form and Instruction New Available
Form 2900-0876 ECCC – V 2900-0876 ECCC – VA Loan Guaranty Form and Instruction Unchanged Available
Form 2900-0876 ECCC – V ECCC – VA Loan Guaranty Form and Instruction Unchanged Missing upstream
Form Telehealth Emergen Telehealth Emergency Medicine Survey Update Form and Instruction Unchanged Available
Form Telehealth Emergen Telehealth Emergency Medicine Survey Update Form and Instruction Unchanged Repair queued
Form 2900-0876 Scheduling Wireframe Form and Instruction Unchanged Available
Form 2900-0876 RX Wireframe Form and Instruction Unchanged Available
Form 2900-0876 Emergency Wireframe Form and Instruction Unchanged Available
Form 2900-0876 Choosing Wireframe Form and Instruction Unchanged Available
Form 2900-0876 Billing Wireframe Form and Instruction Unchanged Available
Form 2900-0876 Attending Wireframe Form and Instruction Unchanged Available
Form 2900-0876 Office of Community Care – IVC Survey Collection Form and Instruction Unchanged Missing upstream
Form 2900-0876 ECCC VA Health Connect Wireframe OMB rev 3 3 25 Form and Instruction Unchanged Available
Form 2900-0876 ECCC – IVC VA Health Connect Form and Instruction Unchanged Repair queued
Form 2900-0876 Applying for benefits survey OMB rev 2 26 25 Form and Instruction Unchanged Available
Form 2900-0876 Receiving Ed Benefits Survey OMB rev 2 26 25 Form and Instruction Unchanged Available
Form 2900-0876 Enrolling in School Survey OMB rev 2 26 25 Form and Instruction Unchanged Available
Form 2900-0876 VBA Education Survey Form and Instruction Unchanged Repair queued
Form VFCE VEAC Exit Sur VFCE VEAC Exit Survey Final Form and Instruction Unchanged Available
Form VFCE VEAC Email Su VFCE VEAC Email Survey Final Form and Instruction Unchanged Available
Form VFCE VEAC Email Su Veterans Family and Community Engagement (VFCE) Veterans Engagement Action Center (VEAC) Email & Exit Surveys Form and Instruction Unchanged Missing upstream
Form Annie Text Messagi Annie Text Messaging Survey Question Changes Form and Instruction Unchanged Available
Form Annie Text Messagi Annie Text Messaging Survey Question Changes Form and Instruction Unchanged Available
Form 2900-0876 OSDBU Lunch N Learn Wireframe Form and Instruction Unchanged Available
Form 2900-0876 OSDBU CS Wireframe OMB 12 12 24 Form and Instruction Unchanged Available
Form OSDBU Lunch N Lear OSDBU Lunch N Learn Wireframe Form and Instruction Unchanged Available
Form OSDBU CS Wireframe OSDBU CS Wireframe Form and Instruction Unchanged Available
Form OSDBU CS Wireframe Office of Small & Disadvantaged Business Utilization (OSDBU) Customer Service & Lunch "N" Learn Survey Updates Form and Instruction Unchanged Repair queued
Form OSDBU IVR Wirefram OSDBU IVR Wireframe v2 Form and Instruction Unchanged Available
Form OSDBU IVR Wirefram Enterprise Contact Center Council (ECCC) Office of Small & Disadvantaged Business Utilization (OSDBU) Interactive Voice Response (IVR) Survey Form and Instruction Unchanged Missing upstream
Form Personalized Caree Personalized Career Planning and Guidance Survey Form and Instruction Unchanged Available
Form Personalized Caree Personalized Career Planning and Guidance (PGPC) Survey Form and Instruction Unchanged Missing upstream
Form Wireframe Template Wireframe Template 6.9.23 1 VFCE Sturgis V2 Form and Instruction Unchanged Available
Form Wireframe Template Sturgis Rally VetFest 2024 Mini Registration Form and Instruction Unchanged Repair queued
Form Healthy Teaching K Healthy Teaching Kitchen Final v2 RL Edits Form and Instruction Unchanged Available
Form Healthy Teaching K Healthy Teaching Kitchen Survey Form and Instruction Unchanged Missing upstream
Form 2900-0876 After Vi 2900-0876 After Visit Summary Form and Instruction Unchanged Available
Form 2900-0876 After Vi After Visit Summary Survey Form and Instruction Unchanged Missing upstream
Form 2900-0876 MyHealth 2900-0876 MyHealtheVet and Oracle Health Survey Form and Instruction Unchanged Available
Form 2900-0876 MyHealth MyHealtheVet and Oracle Health Survey Form and Instruction Unchanged Missing upstream
Form ECCC Member Servic ECCC Member Services Wireframe Form and Instruction Unchanged Available
Form ECCC Member Servic Member Services Contact Center Survey Form and Instruction Unchanged Repair queued
Form 2023-03-08 Compens 2023-03-08 Compensation Claims Questions_FINAL Form and Instruction Unchanged Available
Form 2023-03-08 Compens VBA Compensation Survey - Increase Burden Form and Instruction Unchanged Repair queued
Form Survivor Survey Survivor Survey Form and Instruction Unchanged Available
Form Survivor Survey survivor Survey Form and Instruction Unchanged Missing upstream
Form 2900-0876 Teleheal 2900-0876 Telehealth Store and Forward Result Form and Instruction Unchanged Available
Form 2900-0876 Teleheal Telehealth Store and Forward Result Form and Instruction Unchanged Repair queued
Form ECCC Vet Center Wi ECCC Vet Center Wireframe Form and Instruction Unchanged Available
Form ECCC Vet Center Wi ECCC Vet Center Form and Instruction Unchanged Repair queued
Form Completing VR&E su Completing VR&E survey wireframe Form and Instruction Unchanged Available
Form Discontinuing from Discontinuing from VRE survey wireframe Form and Instruction Unchanged Available
Form Participating VR&E Participating VR&E survey wireframe Form and Instruction Unchanged Available
Form Participating VR&E VBA Veteran Readiness and Employment Survey Form and Instruction Unchanged Available
Form PCT survey PCT survey Form and Instruction Unchanged Available
Form PCT survey Public Contact Team Survey Form and Instruction Unchanged Repair queued
Form Indiana WF 1.12.24 Indiana WF 1.12.24 Form and Instruction Unchanged Available
Form Indiana WF 1.12.24 Indiana Survey Form and Instruction Unchanged Repair queued
Form 2900-0876 Clinical 2900-0876 Clinical Screening Tool Survey Form and Instruction Unchanged Available
Form 2900-0876 Clinical Clinical Screening Tool Survey Form and Instruction Unchanged Repair queued
Form VIP Bootcamp Satis VIP Bootcamp Satisfaction Survey Form and Instruction Unchanged Available
Form VIP Bootcamp Satis VIP Bootcamp Satisfaction Survey Form and Instruction Unchanged Repair queued
Form Compassionate Cont Compassionate Contact Corps - Volunteer Form and Instruction Unchanged Available
Form Compassionate Cont Compassionate Contact Corps - Veteran Form and Instruction Unchanged Available
Form Compassionate Cont Compassionate Contact Corps Survey Form and Instruction Unchanged Missing upstream
Form MOVE! Maintenance MOVE! Maintenance Pilot Program Survey Form and Instruction Unchanged Available
Form MOVE! Maintenance MOVE! Maintenance Pilot Program Survey Form and Instruction Unchanged Repair queued
Form VSDHF Engagement S VSDHF Engagement Survey Wireframe Form and Instruction Unchanged Available
Form VSDHF Engagement S VSDHF Engagement Survey Form and Instruction Unchanged Missing upstream
Form 2900-0876 Telemedi 2900-0876 Telemedicine Form and Instruction Unchanged Available
Form 2900-0876 Telemedi Telemedicine Form and Instruction Unchanged Repair queued
Form Anesthesia Patient Anesthesia Patient Satisfaction Survey Form and Instruction Unchanged Available
Form Anesthesia Patient Anesthesia Patient Satisfaction Survey Form and Instruction Unchanged Missing upstream
Form NFS Wireframe NFS Wireframe Form and Instruction Unchanged Available
Form NFS Wireframe Nutrition & Food Service(NFS) Inpatient Survey Form and Instruction Unchanged Missing upstream
Form Homelessness WF 6. Homelessness WF 6.7.23 v3 Form and Instruction Unchanged Available
Form Homelessness WF 6. Homelessness Survey Form and Instruction Unchanged Missing upstream
Form VRCN Wireframe 6.1 VRCN Wireframe 6.15.23 Form and Instruction Unchanged Available
Form VRCN Wireframe 6.1 VetResources Community Network (VRCN) Survey Form and Instruction Unchanged Missing upstream
Form ECCC - VET HOME Su ECCC - VET HOME Survey Wireframes Form and Instruction Unchanged Available
Form ECCC - VET HOME Su Enterprise Contact Center Council (ECCC) - Veterans Exposure Team-Health Outcomes Military Exposures (VET-HOME) Survey Form and Instruction Unchanged Missing upstream
Form CLC WF with footer CLC WF with footer & logic & priv 5.22.23 Form and Instruction Unchanged Available
Form CLC WF with footer Community Living Center (CLC) Survey Form and Instruction Unchanged Repair queued
Form Northern Arizona D Northern Arizona Dental Service survey Form and Instruction Unchanged Available
Form Northern Arizona D Northern Arizona Dental Service survey Form and Instruction Unchanged Missing upstream
Form Under 40 Trust WF Under 40 Trust WF 4.27.23 Form and Instruction Unchanged Available
Form Under 40 Trust WF Under 40 Trust Project Form and Instruction Unchanged Missing upstream
Form Solid Start Survey Solid Start Survey Wires Form and Instruction Unchanged Available
Form Solid Start Survey VA Solid Start Survey Form and Instruction Unchanged Repair queued
Form Promise to Address Promise to Address Comprehensive Toxics (PACT) Act Outreach survey Form and Instruction Unchanged Available
Form Promise to Address Promise to Address Comprehensive Toxics (PACT) Act Outreach survey Form and Instruction Unchanged Repair queued
Form Compensation Surve Compensation Survey Form and Instruction Unchanged Available
Form Compensation Surve VBA Compensation Survey Form and Instruction Unchanged Repair queued
Form Military Exposures Military Exposures Care Survey 2023_03_06 Form and Instruction Unchanged Available
Form Military Exposures Military Exposure Survey Form and Instruction Unchanged Missing upstream
Form MOVE! Maintenance MOVE! Maintenance Pilot Program Survey Wireframe Form and Instruction Unchanged Available
Form MOVE! Maintenance MOVE! Maintenance Pilot Program Form and Instruction Unchanged Repair queued
Form Long Covid Survey Long Covid Survey Wires 2023_02_10 Form and Instruction Unchanged Available
Form Long Covid Survey Long COVID Surveys Form and Instruction Unchanged Repair queued
Form VA.gov A11 Questio VA.gov A11 Questionnaire - 01202023 HF Form and Instruction Unchanged Available
Form VA.gov VFS - ChatB VA.gov VFS - ChatBot Questionnaire - 01202023 HF Form and Instruction Unchanged Available
Form VA.gov VFS - Searc VA.gov VFS - Search Questionnaire - 01202023 HF Form and Instruction Unchanged Available
Form VA.gov VFS Questio VA.gov VFS Questionnaire - 01202023 HF Form and Instruction Unchanged Available
Form VA.gov VFS Questio VA.gov A-11 Surveys Form and Instruction Unchanged Repair queued
Form Annie Text Messagi Annie Text Messaging Survey Form and Instruction Unchanged Available
Form Annie Text Messagi Annie Text Messaging Survey Form and Instruction Unchanged Missing upstream
Form VRE CH31 - Discont VRE CH31 - Discontinuing from VRE Survey Form and Instruction Unchanged Available
Form VRE CH31 - Complet VRE CH31 - Completing VR&E Survey Wireframes Form and Instruction Unchanged Available
Form VRE CH31 - Partici VRE CH31 - Participating in VR&E Survey Form and Instruction Unchanged Available
Form VRE CH31 - Learnin VRE CH31 - Learning and Applying for VR&E Survey Form and Instruction Unchanged Available
Form VRE CH31 - Learnin VBA Veterans Readiness and Employment (Chapter 31) Surveys Form and Instruction Unchanged Missing upstream
2900-0876 Non-Sub Change Request - EO 14168.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-21 Available
2900-0876 Non-Sub Change Request - EO 14168.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-14 Missing upstream
30-day FRN 2900-0876.pdf Supplementary Document Uploaded 2022-12-30 Available
30-day FRN 2900-0876.pdf Supplementary Document Uploaded 2022-12-30 Missing upstream
60 Day FRN.pdf Supplementary Document Uploaded 2022-12-21 Available
60 Day FRN.pdf Supplementary Document Uploaded 2022-12-21 Repair queued
A-11 30-day FRN_ 2900-0876 17Oct2022.docx Supplementary Document Uploaded 2022-10-17 Available
A-11 30-day FRN_ 2900-0876 17Oct2022.docx Supplementary Document Uploaded 2022-10-17 Repair queued
A-11 60-day FRN_ 2900-0876 17Oct2022.docx Supplementary Document Uploaded 2022-10-17 Available
A-11 60-day FRN_ 2900-0876 17Oct2022.docx Supplementary Document Uploaded 2022-10-17 Missing upstream
2900-0876 SSA (Final 2022-02-01).docx Supporting Statement A Uploaded 2023-02-01 Available
2900-0876 SSA (Final 2022-02-01).docx Supporting Statement A Uploaded 2023-02-01 Missing upstream
A-11 Fast-Track Clearance Request Template.docx Supplementary Document Uploaded 2020-03-13 Available
A-11 Fast-Track Clearance Request Template.docx Supplementary Document Uploaded 2020-03-13 Missing upstream
Supporting Statement B for Agencies_A 11 Section 280 Improving Customer Experience.docx Supporting Statement B Uploaded 2022-10-13 Available
Supporting Statement B for Agencies_A 11 Section 280 Improving Customer Experience.docx Supporting Statement B Uploaded 2022-10-13 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
277578 Telehealth Remote Patient Monitoring Form and Instruction New2900-0876 Telehealth Remote Patient Monitoring
277031 Office of Small & Disadvantaged Business Utilization Event Surveys Form and Instruction New2900-0876 OSDBU Exhibition
277031 Office of Small & Disadvantaged Business Utilization Event Surveys Form and Instruction New2900-0876 Office of Small & Disadvantaged Business Utilization Event Surveys Event
276868 VA Dependency and Indemnity Compensation (VA DIC) Survey Form and Instruction NewVA DIC
276499 VBA Loan Guaranty Service (LGY) - Special Adaptive Housing (SAH) Survey Form and Instruction New6 Month After Final Accounting
276499 VBA Loan Guaranty Service (LGY) - Special Adaptive Housing (SAH) Survey Form and Instruction NewGrant Approval
276373 Office of Community Care – SEOC Survey Form and Instruction New2900-0816 Office of Community Care – SEOC Survey
276091 Healthy Teaching Kitchen Change Request Form and Instruction NewHealthy Teaching Kitchen CR 001
275918 Survivors Assistance and Memorial Support (SAMS) Survey Form and Instruction NewSAMS Survey WF 001
275613 Readjustment Counseling Services (RCS) Vet Center Survey – Initial Engagement Other-Survey Instrument New
275567 VBA Disability Compensation Non-Rating Claims Survey Form and Instruction NewVBA DC Non-Rating Claims Survey
275453 Medical Disability Examination Office (MDEO) Survey Form and Instruction NewMDEO - Getting the Exam
275428 VA Kids Care Form and Instruction New2900-0876 VA Kids Care
275300 VA Call Center Experience & Expectations Survey Form and Instruction NewVA Call Center Experience and Expectations Survey WF response 5 14 25
275155 PMA Getting Started with VA Pilot Support Survey Form and Instruction NewVA Pilot Support Survey
275094 VA Maternity Care Coordination (MCC) - Postpartum Patient Satisfaction Survey Form and Instruction NewMCC Survey
274936 Diabetes Self-Management Education and Support (DSMES) Survey Form and Instruction NewDiabetes Self-Management Education and Support Ad Hoc WF
274694 Telehealth Emergency Medicine Survey Update Form and Instruction NewTelehealth Emergency Medicine Survey Update WF
274693 VBA Finance Center Survey Form and Instruction NewVBA Finance Center Survey
274692 CXPA Veteran Enrollment Survey Form and Instruction NewCXPA Veteran Enrollment Survey
274659 PACT Act Toxic Exposure Screening Navigator Customer Service Ad Hoc Survey Form and Instruction NewPact Act TES WF Survey
274580 Sleep Study Ad Hoc Survey Form and Instruction NewSleep Study Ad Hoc WF
274579 Care Coordination and Integrated Case Management (CCICM) Survey Form and Instruction NewCCICM Ad Hoc WF 032725
274354 ECCC – VA Loan Guaranty Form and Instruction Unchanged2900-0876 ECCC – VA Loan Guaranty
274354 ECCC – VA Loan Guaranty Form and Instruction Unchanged
274197 Telehealth Emergency Medicine Survey Update Form and Instruction UnchangedTelehealth Emergency Medicine Survey Update
274197 Telehealth Emergency Medicine Survey Update Form and Instruction Unchanged
274194 Veteran Transportation Surveys Other-Survey Instrument Unchanged
273946 Office of Community Care – IVC Survey Collection Form and Instruction UnchangedScheduling Wireframe
273946 Office of Community Care – IVC Survey Collection Form and Instruction UnchangedRX Wireframe
273946 Office of Community Care – IVC Survey Collection Form and Instruction UnchangedEmergency Wireframe
273946 Office of Community Care – IVC Survey Collection Form and Instruction UnchangedChoosing Wireframe
273946 Office of Community Care – IVC Survey Collection Form and Instruction UnchangedBilling Wireframe
273946 Office of Community Care – IVC Survey Collection Form and Instruction UnchangedAttending Wireframe
273946 Office of Community Care – IVC Survey Collection Form and Instruction Unchanged
273856 ECCC – IVC VA Health Connect Form and Instruction UnchangedECCC VA Health Connect Wireframe OMB rev 3 3 25
273856 ECCC – IVC VA Health Connect Form and Instruction Unchanged
273754 VBA Education Survey Form and Instruction UnchangedApplying for benefits survey OMB rev 2 26 25
273754 VBA Education Survey Form and Instruction UnchangedReceiving Ed Benefits Survey OMB rev 2 26 25
273754 VBA Education Survey Form and Instruction UnchangedEnrolling in School Survey OMB rev 2 26 25
273754 VBA Education Survey Form and Instruction Unchanged
273477 VA OIG Viewer Interest Project Other-Survey Instrument Unchanged
272998 Veterans Family and Community Engagement (VFCE) Veterans Engagement Action Center (VEAC) Email & Exit Surveys Form and Instruction UnchangedVFCE VEAC Exit Survey Final
272998 Veterans Family and Community Engagement (VFCE) Veterans Engagement Action Center (VEAC) Email & Exit Surveys Form and Instruction UnchangedVFCE VEAC Email Survey Final
272998 Veterans Family and Community Engagement (VFCE) Veterans Engagement Action Center (VEAC) Email & Exit Surveys Form and Instruction Unchanged
272962 Annie Text Messaging Survey Question Changes Form and Instruction UnchangedAnnie Text Messaging Survey Question Changes
272962 Annie Text Messaging Survey Question Changes Form and Instruction Unchanged
272799 Office of Small & Disadvantaged Business Utilization (OSDBU) Customer Service & Lunch "N" Learn Survey Updates Form and Instruction UnchangedOSDBU Lunch N Learn Wireframe
272799 Office of Small & Disadvantaged Business Utilization (OSDBU) Customer Service & Lunch "N" Learn Survey Updates Form and Instruction UnchangedOSDBU CS Wireframe OMB 12 12 24
272799 Office of Small & Disadvantaged Business Utilization (OSDBU) Customer Service & Lunch "N" Learn Survey Updates Form and Instruction UnchangedOSDBU Lunch N Learn Wireframe
272799 Office of Small & Disadvantaged Business Utilization (OSDBU) Customer Service & Lunch "N" Learn Survey Updates Form and Instruction UnchangedOSDBU CS Wireframe
272799 Office of Small & Disadvantaged Business Utilization (OSDBU) Customer Service & Lunch "N" Learn Survey Updates Form and Instruction Unchanged
272611 VHA Community Living Center - Add SCI/D question Other-Survey Instrument Unchanged
272507 VHA ALS Customer Experience Survey Other-Survey Instrument Unchanged
272500 Beneficiary Travel Self Service System (BTSSS) Survey Question updates Other-Survey Instrument Unchanged
272432 Enterprise Contact Center Council (ECCC) Office of Small & Disadvantaged Business Utilization (OSDBU) Interactive Voice Response (IVR) Survey Form and Instruction UnchangedOSDBU IVR Wireframe v2
272432 Enterprise Contact Center Council (ECCC) Office of Small & Disadvantaged Business Utilization (OSDBU) Interactive Voice Response (IVR) Survey Form and Instruction Unchanged
272393 Personalized Career Planning and Guidance (PGPC) Survey Form and Instruction UnchangedPersonalized Career Planning and Guidance Survey
272393 Personalized Career Planning and Guidance (PGPC) Survey Form and Instruction Unchanged
269874 Annie Text Messaging Survey Question Changes Other-Survey Instrument Unchanged
269793 Sturgis Rally VetFest 2024 Mini Registration Form and Instruction UnchangedWireframe Template 6.9.23 1 VFCE Sturgis V2
269793 Sturgis Rally VetFest 2024 Mini Registration Form and Instruction Unchanged
269523 Healthy Teaching Kitchen Survey Form and Instruction UnchangedHealthy Teaching Kitchen Final v2 RL Edits
269523 Healthy Teaching Kitchen Survey Form and Instruction Unchanged
269404 After Visit Summary Survey Form and Instruction Unchanged2900-0876 After Visit Summary
269404 After Visit Summary Survey Form and Instruction Unchanged
269189 MyHealtheVet and Oracle Health Survey Form and Instruction Unchanged2900-0876 MyHealtheVet and Oracle Health Survey
269189 MyHealtheVet and Oracle Health Survey Form and Instruction Unchanged
269049 Member Services Contact Center Survey Form and Instruction UnchangedECCC Member Services Wireframe
269049 Member Services Contact Center Survey Form and Instruction Unchanged
268403 VBA Compensation Survey - Increase Burden Form and Instruction Unchanged2023-03-08 Compensation Claims Questions_FINAL
268403 VBA Compensation Survey - Increase Burden Form and Instruction Unchanged
268074 Blind and Low Vision Rehabilitation Survey Other-Survey Instrument Unchanged
267667 survivor Survey Form and Instruction UnchangedSurvivor Survey
267667 survivor Survey Form and Instruction Unchanged
267302 Nutrition and Food Service Inpatient Survey - Updated Question Other-Survey Instrument Unchanged
266993 VEAC/Outreach Naming Survey Other-Survey Instrument Unchanged
266324 Telehealth Store and Forward Result Form and Instruction Unchanged2900-0876 Telehealth Store and Forward Result
266324 Telehealth Store and Forward Result Form and Instruction Unchanged
266009 ECCC Vet Center Form and Instruction UnchangedECCC Vet Center Wireframe
266009 ECCC Vet Center Form and Instruction Unchanged
265731 VBA Veteran Readiness and Employment Survey Form and Instruction UnchangedCompleting VR&E survey wireframe
265731 VBA Veteran Readiness and Employment Survey Form and Instruction UnchangedDiscontinuing from VRE survey wireframe
265731 VBA Veteran Readiness and Employment Survey Form and Instruction UnchangedParticipating VR&E survey wireframe
265731 VBA Veteran Readiness and Employment Survey Form and Instruction Unchanged
265530 VFCE VEAC Survey - Updated Trust Question Other-Survey Instrument Unchanged
265526 Community Living Centers (CLC) Survey-Updated trust question Other-Survey Instrument Unchanged
265229 Public Contact Team Survey Form and Instruction UnchangedPCT survey
265229 Public Contact Team Survey Form and Instruction Unchanged
264539 Indiana Survey Form and Instruction UnchangedIndiana WF 1.12.24
264539 Indiana Survey Form and Instruction Unchanged
264139 Spanish Benefits Letter Survey Other-Survey Instrument Unchanged
262871 Clinical Screening Tool Survey Form and Instruction Unchanged2900-0876 Clinical Screening Tool Survey
262871 Clinical Screening Tool Survey Form and Instruction Unchanged
262578 VIP Bootcamp Satisfaction Survey Form and Instruction UnchangedVIP Bootcamp Satisfaction Survey
262578 VIP Bootcamp Satisfaction Survey Form and Instruction Unchanged
262424 Compassionate Contact Corps Survey Form and Instruction UnchangedCompassionate Contact Corps - Volunteer
262424 Compassionate Contact Corps Survey Form and Instruction UnchangedCompassionate Contact Corps - Veteran
262424 Compassionate Contact Corps Survey Form and Instruction Unchanged
262422 Support Staff Post Veterans Experience Action Center (VEAC) Other-Survey Instrument Unchanged
262120 Ensuring Awareness of Benefits and Services of NCA Other-Survey Instrument Unchanged
261945 Beneficiary Travel Self Service System (BTSSS) Survey Other-Survey Instrument Unchanged
261942 MOVE! Maintenance Pilot Program Survey Form and Instruction UnchangedMOVE! Maintenance Pilot Program Survey
261942 MOVE! Maintenance Pilot Program Survey Form and Instruction Unchanged
261804 Outpatient-Labs and Imaging - Add Mammography Questions Other-Survey Instrument Unchanged
261791 VSDHF Engagement Survey Form and Instruction UnchangedVSDHF Engagement Survey Wireframe
261791 VSDHF Engagement Survey Form and Instruction Unchanged
261780 Telemedicine Form and Instruction Unchanged2900-0876 Telemedicine
261780 Telemedicine Form and Instruction Unchanged
261480 Anesthesia Patient Satisfaction Survey Form and Instruction UnchangedAnesthesia Patient Satisfaction Survey
261480 Anesthesia Patient Satisfaction Survey Form and Instruction Unchanged
261190 Clinical Contact Center Survey-Update Burden Other-Survey Instrument Unchanged
260965 Nutrition & Food Service(NFS) Inpatient Survey Form and Instruction UnchangedNFS Wireframe
260965 Nutrition & Food Service(NFS) Inpatient Survey Form and Instruction Unchanged
260783 Homelessness Survey Form and Instruction UnchangedHomelessness WF 6.7.23 v3
260783 Homelessness Survey Form and Instruction Unchanged
260683 VetResources Community Network (VRCN) Survey Form and Instruction UnchangedVRCN Wireframe 6.15.23
260683 VetResources Community Network (VRCN) Survey Form and Instruction Unchanged
260557 Enterprise Contact Center Council (ECCC) - Veterans Exposure Team-Health Outcomes Military Exposures (VET-HOME) Survey Form and Instruction UnchangedECCC - VET HOME Survey Wireframes
260557 Enterprise Contact Center Council (ECCC) - Veterans Exposure Team-Health Outcomes Military Exposures (VET-HOME) Survey Form and Instruction Unchanged
260348 Community Living Center (CLC) Survey Form and Instruction UnchangedCLC WF with footer & logic & priv 5.22.23
260348 Community Living Center (CLC) Survey Form and Instruction Unchanged
260108 Northern Arizona Dental Service survey Form and Instruction UnchangedNorthern Arizona Dental Service survey
260108 Northern Arizona Dental Service survey Form and Instruction Unchanged
259926 Under 40 Trust Project Form and Instruction UnchangedUnder 40 Trust WF 4.27.23
259926 Under 40 Trust Project Form and Instruction Unchanged
259840 VA Solid Start Survey Form and Instruction UnchangedSolid Start Survey Wires
259840 VA Solid Start Survey Form and Instruction Unchanged
259612 Promise to Address Comprehensive Toxics (PACT) Act Outreach survey Form and Instruction UnchangedPromise to Address Comprehensive Toxics (PACT) Act Outreach survey
259612 Promise to Address Comprehensive Toxics (PACT) Act Outreach survey Form and Instruction Unchanged
259047 VBA Compensation Survey Form and Instruction UnchangedCompensation Survey
259047 VBA Compensation Survey Form and Instruction Unchanged
259032 Military Exposure Survey Form and Instruction UnchangedMilitary Exposures Care Survey 2023_03_06
259032 Military Exposure Survey Form and Instruction Unchanged
258896 MOVE! Maintenance Pilot Program Form and Instruction UnchangedMOVE! Maintenance Pilot Program Survey Wireframe
258896 MOVE! Maintenance Pilot Program Form and Instruction Unchanged
258567 Long COVID Surveys Form and Instruction UnchangedLong Covid Survey Wires 2023_02_10
258567 Long COVID Surveys Form and Instruction Unchanged
258501 VA.gov A-11 Surveys Form and Instruction UnchangedVA.gov A11 Questionnaire - 01202023 HF
258501 VA.gov A-11 Surveys Form and Instruction UnchangedVA.gov VFS - ChatBot Questionnaire - 01202023 HF
258501 VA.gov A-11 Surveys Form and Instruction UnchangedVA.gov VFS - Search Questionnaire - 01202023 HF
258501 VA.gov A-11 Surveys Form and Instruction UnchangedVA.gov VFS Questionnaire - 01202023 HF
258501 VA.gov A-11 Surveys Form and Instruction Unchanged
258478 Annie Text Messaging Survey Form and Instruction UnchangedAnnie Text Messaging Survey
258478 Annie Text Messaging Survey Form and Instruction Unchanged
258284 VBA Veterans Readiness and Employment (Chapter 31) Surveys Form and Instruction UnchangedVRE CH31 - Discontinuing from VRE Survey
258284 VBA Veterans Readiness and Employment (Chapter 31) Surveys Form and Instruction UnchangedVRE CH31 - Completing VR&E Survey Wireframes
258284 VBA Veterans Readiness and Employment (Chapter 31) Surveys Form and Instruction UnchangedVRE CH31 - Participating in VR&E Survey
258284 VBA Veterans Readiness and Employment (Chapter 31) Surveys Form and Instruction UnchangedVRE CH31 - Learning and Applying for VR&E Survey
258284 VBA Veterans Readiness and Employment (Chapter 31) Surveys Form and Instruction Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
02/28/2026 02/28/2026 02/28/2026
4,012,000 0 4,012,000
344,083 0 344,083
0 0 0





Reginfo record details
83
table that charts list of burden
IC Title Form No. Form Name
After Visit Summary Survey 2900-0876 After Visit Summary
Anesthesia Patient Satisfaction Survey Anesthesia Patient Satisfaction Survey
Annie Text Messaging Survey Annie Text Messaging Survey
Annie Text Messaging Survey Question Changes Annie Text Messaging Survey Question Changes
Annie Text Messaging Survey Question Changes
Beneficiary Travel Self Service System (BTSSS) Survey
Beneficiary Travel Self Service System (BTSSS) Survey Question updates
Blind and Low Vision Rehabilitation Survey
CXPA Veteran Enrollment Survey 2900-0876 CXPA Veteran Enrollment Survey
Care Coordination and Integrated Case Management (CCICM) Survey CCICM Ad Hoc WF 032725
Clinical Contact Center Survey-Update Burden
Clinical Screening Tool Survey 2900-0876 Clinical Screening Tool Survey
Community Living Center (CLC) Survey CLC WF with footer & logic & priv 5.22.23
Community Living Centers (CLC) Survey-Updated trust question
Compassionate Contact Corps Survey Compassionate Contact Corps - Volunteer, Compassionate Contact Corps - Veteran ,  
Diabetes Self-Management Education and Support (DSMES) Survey Diabetes Self-Management Education and Support Ad
ECCC Vet Center ECCC Vet Center Wireframe
ECCC – IVC VA Health Connect 2900-0876
ECCC – VA Loan Guaranty 2900-0876 ECCC – VA Loan Guaranty
Ensuring Awareness of Benefits and Services of NCA
Enterprise Contact Center Council (ECCC) - Veterans Exposure Team-Health Outcomes Military Exposures (VET-HOME) Survey ECCC - VET HOME Survey Wireframes
Enterprise Contact Center Council (ECCC) Office of Small & Disadvantaged Business Utilization (OSDBU) Interactive Voice Response (IVR) Survey OSDBU IVR Wireframe v2
Healthy Teaching Kitchen Change Request Healthy Teaching Kitchen CR 001
Healthy Teaching Kitchen Survey Healthy Teaching Kitchen Final v2 RL Edits
Homelessness Survey Homelessness WF 6.7.23 v3
Indiana Survey Indiana WF 1.12.24
Long COVID Surveys Long Covid Survey Wires 2023_02_10
MOVE! Maintenance Pilot Program MOVE! Maintenance Pilot Program Survey Wireframe
MOVE! Maintenance Pilot Program Survey MOVE! Maintenance Pilot Program Survey
Medical Disability Examination Office (MDEO) Survey MDEO - Getting the Exam
Member Services Contact Center Survey ECCC Member Services Wireframe
Military Exposure Survey Military Exposures Care Survey 2023_03_06
MyHealtheVet and Oracle Health Survey 2900-0876 MyHealtheVet and Oracle Health Survey
Northern Arizona Dental Service survey Northern Arizona Dental Service survey
Nutrition & Food Service(NFS) Inpatient Survey NFS Wireframe
Nutrition and Food Service Inpatient Survey - Updated Question
Office of Community Care – IVC Survey Collection 2900-0876, 2900-0876, 2900-0876, 2900-0876, 2900-0876, 2900-0876 ,   ,   ,   ,   ,  
Office of Community Care – SEOC Survey 2900-0876 Office of Community Care – SEOC Survey
Office of Small & Disadvantaged Business Utilization (OSDBU) Customer Service & Lunch "N" Learn Survey Updates 2900-0876, 2900-0876, OSDBU CS Wireframe, OSDBU Lunch N Learn Wireframe ,   ,   ,  
Office of Small & Disadvantaged Business Utilization Event Surveys 2900-0876 OSDBU Event, 2900-0876 OSDBU Exhibition ,  
Outpatient-Labs and Imaging - Add Mammography Questions
PACT Act Toxic Exposure Screening Navigator Customer Service Ad Hoc Survey 2900-0876
PMA Getting Started with VA Pilot Support Survey 2900-0876
Personalized Career Planning and Guidance (PGPC) Survey Personalized Career Planning and Guidance Survey
Promise to Address Comprehensive Toxics (PACT) Act Outreach survey Promise to Address Comprehensive Toxics (PACT) Act
Public Contact Team Survey PCT survey
Readjustment Counseling Services (RCS) Vet Center Survey – Initial Engagement
Sleep Study Ad Hoc Survey Sleep Study Ad Hoc WF
Spanish Benefits Letter Survey
Sturgis Rally VetFest 2024 Mini Registration Wireframe Template 6.9.23 1 VFCE Sturgis V2
Support Staff Post Veterans Experience Action Center (VEAC)
Survivors Assistance and Memorial Support (SAMS) Survey SAMS Survey WF 001
Telehealth Emergency Medicine Survey Update Telehealth Emergency Medicine Survey Update
Telehealth Emergency Medicine Survey Update Telehealth Emergency Medicine Survey Update WF
Telehealth Remote Patient Monitoring 2900-0876 Telehealth Remote Patient Monitoring
Telehealth Store and Forward Result 2900-0876 Telehealth Store and Forward Result
Telemedicine 2900-0876 Telemedicine
Under 40 Trust Project Under 40 Trust WF 4.27.23
VA Call Center Experience & Expectations Survey VA Call Center Experience and Expectations Survey
VA Dependency and Indemnity Compensation (VA DIC) Survey VA DIC
VA Kids Care 2900-0876 VA Kids Care
VA Maternity Care Coordination (MCC) - Postpartum Patient Satisfaction Survey 2900-0876
VA OIG Viewer Interest Project
VA Solid Start Survey Solid Start Survey Wires
VA.gov A-11 Surveys VA.gov A11 Questionnaire - 01202023 HF, VA.gov VFS Questionnaire - 01202023 HF, VA.gov VFS - Search Questionnaire - 01202023 HF, VA.gov VFS - ChatBot Questionnaire - 01202023 HF ,   ,   ,  
VBA Compensation Survey Compensation Survey
VBA Compensation Survey - Increase Burden 2023-03-08 Compensation Claims Questions_FINAL
VBA Disability Compensation Non-Rating Claims Survey VBA DC Non-Rating Claims Survey
VBA Education Survey 2900-0876, 2900-0876, 2900-0876 ,   ,  
VBA Finance Center Survey 2900-0876
VBA Loan Guaranty Service (LGY) - Special Adaptive Housing (SAH) Survey Grant Approval , 6 Month After Final Accounting ,  
VBA Veteran Readiness and Employment Survey Discontinuing from VRE survey wireframe, Completing VR&E survey wireframe, Participating VR&E survey wireframe ,   ,  
VBA Veterans Readiness and Employment (Chapter 31) Surveys VRE CH31 - Completing VR&E Survey Wireframes, VRE CH31 - Learning and Applying for VR&E Survey , VRE CH31 - Participating in VR&E Survey , VRE CH31 - Discontinuing from VRE Survey ,   ,   ,  
VEAC/Outreach Naming Survey
VFCE VEAC Survey - Updated Trust Question
VHA ALS Customer Experience Survey
VHA Community Living Center - Add SCI/D question
VIP Bootcamp Satisfaction Survey VIP Bootcamp Satisfaction Survey
VSDHF Engagement Survey VSDHF Engagement Survey Wireframe
VetResources Community Network (VRCN) Survey VRCN Wireframe 6.15.23
Veteran Transportation Surveys
Veterans Family and Community Engagement (VFCE) Veterans Engagement Action Center (VEAC) Email & Exit Surveys VFCE VEAC Email Survey Final, VFCE VEAC Exit Survey Final ,  
survivor Survey Survivor Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,012,000 4,012,000 0 0 0 0
Annual Time Burden (Hours) 344,083 344,083 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No