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Veterans Transportation Service (VTS) Veterans Satisfaction Questionnaire
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)
OMB: 2900-0770
IC ID: 199589
OMB.report
VA
OMB 2900-0770
ICR 201107-2900-001
IC 199589
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0770 can be found here:
2023-10-05 - Revision of a currently approved collection
2020-09-29 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form VA Form 10-0517
Veterans Transportation Service (VTS) Veterans Satisfaction Questionnaire
Form
VA Form 10-0517 Veterans Transportation Service (VTS) Questionnaire
VTS Questionnaire_VA Form 10-0517.docx
To Be Determined
Form
VTS Questionnaire_Generic_Clearance_Submission (3).docx
Veterans Transportation Service (VTS) Veterans Satisfaction Questionnaire
IC Document
Veterans Transportation (VTS) Cover Letter 7_2011.docx
Veterans Transportation (VTS) Cover Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Veterans Transportation Service (VTS) Veterans Satisfaction Questionnaire
Agency IC Tracking Number:
2900-0770
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
5 CFR 1320.8(d)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
VA Form 10-0517
Veterans Transportation Service (VTS) Questionnaire
VTS Questionnaire_VA Form 10-0517.docx
To Be Determined
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
13,482
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
13,482
0
13,482
0
0
0
Annual IC Time Burden (Hours)
1,281
0
1,281
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Veterans Transportation Service (VTS) Veterans Satisfaction Questionnaire
VTS Questionnaire_Generic_Clearance_Submission (3).docx
10/07/2011
Veterans Transportation (VTS) Cover Letter
Veterans Transportation (VTS) Cover Letter 7_2011.docx
10/02/2011
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.