Beneficiary Travel Self Service System (BTSSS) Survey Question updates

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

OMB: 2900-0876

IC ID: 272500

Documents and Forms
Document Name
Document Type
Other-Survey Instrument
Other-Survey Instrument
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Beneficiary Travel Self Service System (BTSSS) Survey Question updates
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument BTSSS_Change Request.docx Yes Yes Fillable Fileable

Health Health Care Services

Veterans, Dependents of Veterans, and Veteran Beneficiaries  86 FR 6992

156,000 0
   
Individuals or Households
 
   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 156,000 0 0 0 0 156,000
Annual IC Time Burden (Hours) 13,000 0 0 0 0 13,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ICR A-11 Section 280 BTSSS Change Request Cover Sheet ICR Template_A11 Section 280 Clearance BTSSS Change Request.docx 12/03/2024
BTSSS Sample Plan Beneficiary Travel Self Service System (BTSSS) Sampling Plan updated.docx 12/03/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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