Information Collection

Readjustment Counseling Services (RCS) Vet Center Survey – Initial Engagement

IC 275613 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⚠️ Notice: This information collection may be referencing outdated material.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
RCS Vet Centers Initial Engagement survey question updates.docx	Other-Survey Instrument
ICR Template_A11 Section 280 Clearance 8 16 23 VetCenter Initial Engagement question update.docx ICR Template A11 Section 280 Clearance VET Center Initial Engagement Update	IC Document

IC Title:

Readjustment Counseling Services (RCS) Vet Center Survey â Initial Engagement

Agency IC Tracking Number:

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
Other-Survey Instrument					Yes	Yes	Fillable Fileable

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: 1,200

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	1,200	1,200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ICR Template A11 Section 280 Clearance VET Center Initial Engagement Update		06/09/2025

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

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