Building Better Caregivers TM Alumni Community Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0770 can be found here:

Documents and Forms

Document Name Document Type
Form 10-10119 Building Better Caregivers TM Alumni Community Satisfaction Survey Form and Instruction
10-10119 Building Better Caregivers TM Alumni Community Satisfact Alumni Survey Final 4-15-14.docx Form and Instruction
OMB BBC Alumni Satisfaction Request_20140324.docx Fast Track Building Better Caregivers TM Alumni Community Satisfaction Survey Justification IC Document

Information Collection (IC) Details

IC Title:	Building Better Caregivers TM Alumni Community Satisfaction Survey	Agency IC Tracking Number:

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
Form and Instruction	10-10119	Building Better Caregivers TM Alumni Community Satisfaction Survey	Alumni Survey Final 4-15-14.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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	500	500
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Building Better Caregivers TM Alumni Community Satisfaction Survey Justification	OMB BBC Alumni Satisfaction Request_20140324.docx	04/11/2014

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