OMB control number
uSPEQ® Consumer Experience Survey (Rehabilitation)
OMB 2900-0752 · VA.
OMB 2900-0752
The uSPEQ® is a confidential, anonymous, and scientifically-tested consumer reporting system that gives persons served a voice in their services. There is a current absence of an existing survey model that is psychometrically sound and nationally benchmarked for survey of consumer experiences in VA rehabilitation programs. VA rehabilitation programs are committed to adopting the uSPEQ® survey to assess outcome measures related to patient perceptions of and perspectives regarding rehabilitation experiences. VA recognizes that adoption of this survey provides a systems approach and benchmarking capability for patient assessed outcomes of care.
The latest form for uSPEQ® Consumer Experience Survey (Rehabilitation) expires 2020-06-30 and is listed under ICR 201703-2900-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form VA Form 10-0467 uSPEQ® Consumer Experience Survey (Rehabilitation) | Form |
| 30-day FRN_uSPEQ Consumer Experience_2900-0752_published 09282021.pdf | Supplementary Document |
| 60-day FRN_uSPEQ Consumer Experience_2900-0752_published 06302021.pdf | Supplementary Document |
 Supporting Statement A_uSPEQ Consumer Experience Survey_2900-0752_updated Oct 2021.docx | Supporting Statement A |
| Supporting Statement B_uSPEQ Survey_2900-0752_Jul 2021.docx | Supporting Statement B |
 uSPEQ® Consumer Experience Survey (Rehabilitation) |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202103-2900-007 | Reinstatement without change of a previously approved collection | 2021-10-29 | Approved without change | |
| 201703-2900-002 | Extension without change of a currently approved collection | 2017-03-21 | Approved without change | |
| 201611-2900-012 | Reinstatement without change of a previously approved collection | 2016-11-30 | Approved without change | |
| 201304-2900-007 | Extension without change of a currently approved collection | 2013-09-09 | Approved without change | |
| 200901-2900-014 | New collection (Request for a new OMB Control Number) | 2009-05-19 | Approved with change |