OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of Veterans Health Administration Mental Health Services

ICR 200809-2900-012 · OMB 2900-0713 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
2900-0713 OMB description of changes.doc Justification for No Material/Nonsubstantive Change Uploaded 2008-09-22 Available
EVHAMHS Justification Part B.doc Supporting Statement B Uploaded 2008-01-10 Available
EVHAMHS Justification Part A.doc Supporting Statement A Uploaded 2008-01-10 Available
IC Document Collections
IC IDCollectionTypeStatusForm
182503 Evaluation of Veterans Health Administration Mental Health Services Other-Survey Modified
ICR Details
2900-0713 200809-2900-012
Historical Active 200710-2900-008
VA 2900-0713
Evaluation of Veterans Health Administration Mental Health Services
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/22/2008
Retrieve Notice of Action (NOA) 09/22/2008
  Inventory as of this Action Requested Previously Approved
07/31/2010 07/31/2010 07/31/2010
8,218 0 8,218
4,109 0 4,109
0 0 0
This program evaluation of mental health services in VA is a four year study of services and outcomes. The program evaluation is looking at patient-level outcomes to determine what impact our services have on patients with specific mental illnesses. The contractor has proposed a telephone survey of selected veterans to supplement the data found in VA’s administrative databases and patient charts. Two groups of veterans will be surveyed- veterans who use VA services to see how our services have impacted them, and veterans who do not use VA for their health care to find out why they don’t. We are specifically looking a vets with five diagnoses: schizophrenia, bipolar, major depressive disorder, PTSD and substance abuse.
PL: Pub.L. 103 - 62 entirety Name of Law: Government Performance and esults Act of 1993
   US Code: 38 USC 527 Name of Law: Evaluation and Data Collection
  
None
Not associated with rulemaking
  72 FR 162 08/22/2007
72 FR 214 11/06/2007
No
1
IC Title Form No. Form Name
Evaluation of Veterans Health Administration Mental Health Services
  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 8,218 8,218 0 0 0 0
Annual Time Burden (Hours) 4,109 4,109 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There is no change to the burden hours. This is the study’s first submission
$1,725,435
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 [email protected]
  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.
09/22/2008