Information Collection

VA Maternity Care Coordination (MCC) - Postpartum Patient Satisfaction Survey

IC 275094 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⚠️ Notice: This information collection may be referencing outdated material.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 2900-0876 MCC Survey VA Maternity Care Coordination (MCC) - Postpartum Patient Satisfaction Survey	Form and Instruction
2900-0876 MCC Survey 2900-0876_VA Maternity Care Coord (MCC) - Postpartum Patient Satis Survey_rev Jul 2025 OMB rev.docx	Form and Instruction
SS_2900-0876_A11 Section 280 Clearance_MCC - Postpartum Patient Satis Survey_rev Jun 2025.docx SS - 2900-0876 - Maternity Care Corrdination (MCC) - Postpartum Patient Satis Survey - rev Jun 2025	IC Document
2900-0876_Memorandum_MCC PP Survey_VEO PSA approval_06182025.pdf 2900-0876 - Memorandum - MCC PP Survey - VEO PSA approval - 06182025	IC Document

IC Title:

VA Maternity Care Coordination (MCC) - Postpartum Patient Satisfaction Survey

Agency IC Tracking Number:

VHA-2900-0876

IC Status: New

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	2900-0876				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: âVeterans, Dependents of Veterans, and VA Beneficiary Survey Records (43VA008)

FR Citation: 86 FR 6992

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SS - 2900-0876 - Maternity Care Corrdination (MCC) - Postpartum Patient Satis Survey - rev Jun 2025		06/27/2025
2900-0876 - Memorandum - MCC PP Survey - VEO PSA approval - 06182025		06/20/2025

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

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