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Federal forms, ICRs, and supporting documents

Information Collection Request

Women Veterans Ambulatory Care Use: Patterns, Barriers, and Influences

ICR 200407-2900-021 · OMB 2900-0643 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
42236 Women Veterans Ambulatory Care Use: Patterns, Barriers, and Influences Form Migrated
ICR Details
2900-0643 200407-2900-021
Historical Active 200303-2900-001
VA
Women Veterans Ambulatory Care Use: Patterns, Barriers, and Influences
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/27/2004
Retrieve Notice of Action (NOA) 07/27/2004
  Inventory as of this Action Requested Previously Approved
08/31/2004 08/31/2004 09/30/2004
2,050 0 2,050
683 0 683
0 0 0
Current data is gathered on inequities in access and quality of services for women veterans, to gain an understanding of the status of VA health care from the perspective of women veterans and guide programs and policies to correct recognized deficiencies.
None
None
No
1
IC Title Form No. Form Name
Women Veterans Ambulatory Care Use: Patterns, Barriers, and Influences 10-21063(NR)
  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 2,050 2,050 0 0 0 0
Annual Time Burden (Hours) 683 683 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
Yes Part B of Supporting Statement
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.
07/27/2004