Information Collection

Orthotic, Prosthetic, Pedorthic Clinical Services (OPPCS) Survey

IC 279239 under ICR 202508-2900-010 · OMB 2900-0876.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPPCS WF OPPCS WF Orthotic, Prosthetic, Pedorthic Clinical Services (OPPCS) Survey	Form and Instruction
OPPCS WF OPPCS WF OPPCS WF 001_revised.docx	Form and Instruction
A-11 Fast-Track Clearance Request Template OPPCS.docx A-11 Fast-Track Clearance Request Template OPPCS	IC Document

IC Title:

Agency IC Tracking Number:

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	OPPCS WF				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: ROCIS Veterans, Dependents of Veterans, and Veteran Beneficiaries Survey Records

FR Citation: 86 FR 6992

Number of Respondents: 10,000

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	10,000	10,000
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
A-11 Fast-Track Clearance Request Template OPPCS		02/26/2026

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

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