Survey of Veteran Enrollees' Health and Reliance Upon VA

ICR 201107-2900-029

OMB: 2900-0609

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2012-03-15
Supporting Statement B
2012-03-15
Supporting Statement A
2012-03-15
Supplementary Document
2010-10-19
Supplementary Document
2009-05-11
Supplementary Document
2009-02-18
Supplementary Document
2009-02-18
IC Document Collections
ICR Details
2900-0609 201107-2900-029
Historical Inactive 200902-2900-005
VA 2900-0609
Survey of Veteran Enrollees' Health and Reliance Upon VA
Revision of a currently approved collection   No
Regular
Withdrawn and continue 09/13/2012
Retrieve Notice of Action (NOA) 04/09/2012
VA withdraws this collection for additional revisions and plans to resubmit by December 2012. The revisions are based, in part, on ongoing methodological experiments designed to improve the collection. VA may re-use the most recent 60-day and 30-day Federal Register notices.
  Inventory as of this Action Requested Previously Approved
11/30/2013 36 Months From Approved 11/30/2013
42,080 0 42,080
14,400 0 14,400
0 0 0

Study of enrollees' health status, income, reliance on VA & interest in Prescription-Only Program will provide information for planning & policy development for actuarial projections of enrollment, utilization, expenditures, mandated annual enrollment reforms, & quantitative & qualitative research.

PL: Pub.L. 104 - 262 Entirety Name of Law: Veterans Health Care Eligibility Reform Act of 1996,
  
None

Not associated with rulemaking

  76 FR 211 11/01/2011
77 FR 50 03/14/2012
No

1
IC Title Form No. Form Name
Survey of Veteran Enrollees' Health and Reliance Upon VA VA Form 10-21034G (CATI) Survey of Veteran Enrollees

No
No

$1,500,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/09/2012


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