Information Collection

Generic Veterans Health Administration Customer Satisfaction Surveys

IC 44127 under ICR 200812-2900-015 · OMB 2900-0570.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0570 can be found here:

Documents and Forms

Document Name Document Type
Form VA Form 10-0463 Generic Veterans Health Administration Customer Satisfaction Surveys Form
VA Form 10-0463 Service Member/Veteran Satisfaction survey 2900-0570 SMV satisfaction client.doc Form
VA Form 10-0463A Service Member/Veteran Primary Caregiver Satisfaction Su 2900-0570 caregiver satisfaction client.doc Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Generic Veterans Health Administration Customer Satisfaction Surveys	Agency IC Tracking Number:	2900-0570

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 10-0463	Service Member/Veteran Satisfaction survey	2900-0570 SMV satisfaction client.doc		No		Paper Only
Form	VA Form 10-0463A	Service Member/Veteran Primary Caregiver Satisfaction Survey	2900-0570 caregiver satisfaction client.doc		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 885,797	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Previously Approved
Annual Number of Responses for this IC	885,797	885,797
Annual IC Time Burden (Hours)	125,347	125,347
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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