ECCC – IVC VA Health Connect

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

OMB: 2900-0876

IC ID: 273856

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

ECCC – IVC VA Health Connect
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 2900-0876 ECCC VA Health Connect Wireframe OMB rev 3 3 25 ECCC - VA Health Connect Wireframe IVR Script OMB rev. 3 3 25.docx Yes Yes Fillable Fileable

Health Health Care Services

 

450,000 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 450,000 0 0 0 0 450,000
Annual IC Time Burden (Hours) 7,500 0 0 0 0 7,500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ECCC – IVC VA Health Connect A11 Fast-Track Clarance Request Template_ECCC VA Health Connect.docx 01/24/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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