Information Collection

Learner's Perception (LP) Survey

IC 44140 under ICR 201212-2900-006 · OMB 2900-0691.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0691 can be found here:

Documents and Forms

Document Name Document Type
Form 10-0439 Learner's Perception (LP) Survey Form
10-0439 Learner's Perception survey LPS_Survey v2[1].doc www.va.gov/oaa/lpssurveys/login.asp?surveyid=4 Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Learner's Perception (LP) Survey	Agency IC Tracking Number:	2900-0691

Is this a Common Form? No		IC Status: Unchanged

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	10-0439	Learner's Perception survey	LPS_Survey v2[1].doc	http://www.va.gov/oaa/lpssurveys/login.asp?surveyid=4	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	14,000	14,000
Annual IC Time Burden (Hours)	3,500	3,500
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.