Information Collection

Enterprise Contact Center Council (ECCC) - Veterans Exposure Team-Health Outcomes Military Exposures (VET-HOME) Survey

IC 260557 under ICR 202503-2900-010 · OMB 2900-0876.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0876 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ECCC - VET HOME Su Enterprise Contact Center Council (ECCC) - Veterans Exposure Team-Health Outcomes Military Exposures (VET-HOME) Survey	Form and Instruction
Form ECCC - VET HOME Su ECCC - VET HOME Survey Wireframes Enterprise Contact Center Council (ECCC) - Veterans Exposure Team-Health Outcomes Military Exposures (VET-HOME) Survey	Form and Instruction
ECCC - VET HOME Su ECCC - VET HOME Survey Wireframes ECCC - VET HOME Survey Wireframes.pdf	Form and Instruction
ECCC - VET HOME Su ECCC - VET HOME Survey Wireframes ECCC - VET HOME Survey Wireframes.pdf	Form and Instruction
ICR Template_A11 Section 280 Clearance_ECCC VET-HOME Survey.pdf ICR A11 Section 280 Clearance - ECCC VET-HOME Survey	IC Document
ICR Template_A11 Section 280 Clearance_ECCC VET-HOME Survey.pdf ICR A11 Section 280 Clearance - ECCC VET-HOME Survey	IC Document

IC Title:

Enterprise Contact Center Council (ECCC) - Veterans Exposure Team-Health Outcomes Military Exposures (VET-HOME) Survey

Agency IC Tracking Number:

2900-0876 - ECCC - VET-HOME Survey

IC Status: Unchanged

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
Form and Instruction	ECCC - VET HOME Survey Wireframes				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title: Veterans, Dependents of Veterans, and Veterans Beneficiaries Survey Records

FR Citation: 86 FR 6992

Number of Respondents: 40,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	40,000	40,000
Annual IC Time Burden (Hours)	3,333	3,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ICR A11 Section 280 Clearance - ECCC VET-HOME Survey		06/06/2023

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

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