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Clinical Contact Center Survey-Update Burden
Clearance for A-11 Section 280 Improving Customer Experience Information Collection
OMB: 2900-0876
IC ID: 261190
OMB.report
VA
OMB 2900-0876
ICR 202503-2900-010
IC 261190
( )
Documents and Forms
Document Name
Document Type
Clinical Contact Center Survey Instrument.pdf
Other-Survey Instrument
Clinical Contact Center Survey Instrument.pdf
Other-Survey Instrument
ICR Template_A11 Section 280 Clearance ECCC Clinical Care.docx
Clinical Contact Center Survey
IC Document
ICR Template_A11 Section 280 Clearance ECCC Clinical Care.docx
Clinical Contact Center Survey
IC Document
Service Level Measurement -ECCC Clinical Care 071423.docx
Clinical Contact Center Sample Plan
IC Document
Service Level Measurement -ECCC Clinical Care 071423.docx
Clinical Contact Center Sample Plan
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Clinical Contact Center Survey-Update Burden
Agency IC Tracking Number:
IC Status:
Unchanged
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 Instrument
Clinical Contact Center Survey Instrument.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
Veterans, Dependents of Veterans, and Veteran Beneficiaries
FR Citation:
86 FR 6992
Number of Respondents:
13,400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
13,400
0
0
0
0
13,400
Annual IC Time Burden (Hours)
893
0
0
0
0
893
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Clinical Contact Center Survey
ICR Template_A11 Section 280 Clearance ECCC Clinical Care.docx
07/21/2023
Clinical Contact Center Sample Plan
Service Level Measurement -ECCC Clinical Care 071423.docx
07/21/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.