Information Collection

Women Veterans Healthcare Barriers

IC 204873 under ICR 201211-2900-009 · OMB 2900-0795.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0795 can be found here:

Documents and Forms

Document Name Document Type
Womens Barriers Survey Script (v3).docx Other-Telephonic Script

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Women Veterans Healthcare Barriers	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-Telephonic Script			Womens Barriers Survey Script (v3).docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,400	8,400
Annual IC Time Burden (Hours)	5,600	5,600
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.