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Federal forms, ICRs, and supporting documents

Information Collection Request

PATIENT SATISFACTION SURVEY (PSS) AND FOOD SERVICE AND NUTRITIONAL CARE ANALYSIS

ICR 199205-2900-006 · OMB 2900-0227 · Historical Active

Forms and Documents
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No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
147663 PATIENT SATISFACTION SURVEY (PSS) AND FOOD SERVICE AND NUTRITIONAL CARE ANALYSIS Form Migrated
ICR Details
2900-0227 199205-2900-006
Historical Active 199107-2900-017
VA
PATIENT SATISFACTION SURVEY (PSS) AND FOOD SERVICE AND NUTRITIONAL CARE ANALYSIS
Revision of a currently approved collection   No
Regular
Approved without change 07/31/1992
Retrieve Notice of Action (NOA) 05/13/1992
This information collection request is approved subject to the following: When VA next submits this request for review it should discuss in its Justification how the data from the survey has been use for management or policy purposes. It should also consider ways to mak the data more meaningful such as exploring why various services are rated good or poor.
  Inventory as of this Action Requested Previously Approved
07/31/1995 07/31/1995 10/31/1992
745,600 0 745,600
105,920 0 106,123
0 0 0
THESE SURVEYS ARE THE ONLY RECURRING COMPREHENSIVE EVALUATIONS OF VA PATIENTS' SATISFACTION WITH THE HEALTH CARE THEY RECEIVE. THEY MEET MEDICAL, MANAGEMENT, AND LEGISLATIVE REQUIREMENTS AND HELP ASSURE THAT VA MAINTAINS A HIGH LEVEL OF CARE TO THE NATION'S VETERANS.
None
None
No
1
IC Title Form No. Form Name
PATIENT SATISFACTION SURVEY (PSS) AND FOOD SERVICE AND NUTRITIONAL CARE ANALYSIS VA, 10-1465D-H, J, 10-5387
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 745,600 745,600 0 0 0 0
Annual Time Burden (Hours) 105,920 106,123 0 0 -203 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/13/1992