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MyHealtheVet and Oracle Health Survey
Clearance for A-11 Section 280 Improving Customer Experience Information Collection
OMB: 2900-0876
IC ID: 269189
OMB.report
VA
OMB 2900-0876
ICR 202503-2900-010
IC 269189
( )
Documents and Forms
Document Name
Document Type
Form 2900-0876 MyHealth
MyHealtheVet and Oracle Health Survey
Form and Instruction
Form 2900-0876 MyHealth
MyHealtheVet and Oracle Health Survey
Form and Instruction
2900-0876 MyHealth 2900-0876 MyHealtheVet and Oracle Health Survey
Survey Wireframe Update 7.1.24.docx
Form and Instruction
2900-0876 MyHealth 2900-0876 MyHealtheVet and Oracle Health Survey
Survey Wireframe Update 7.1.24.docx
Form and Instruction
ICR Template_A11 Section 280 MHV.pdf
MyHealtheVet and Oracle Health Survey
IC Document
ICR Template_A11 Section 280 MHV.pdf
MyHealtheVet and Oracle Health Survey
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
MyHealtheVet and Oracle Health Survey
Agency IC Tracking Number:
2900-0876 MyHealtheVet and Oracle Health Survey
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
Form and Instruction
2900-0876 MyHealtheVet and Oracle Health Survey
2900-0876 MyHealtheVet and Oracle Health Survey
Survey Wireframe Update 7.1.24.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50,000
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
50,000
0
0
0
0
50,000
Annual IC Time Burden (Hours)
2,500
0
0
0
0
2,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
MyHealtheVet and Oracle Health Survey
ICR Template_A11 Section 280 MHV.pdf
07/03/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.