VISN 20 Cancer Care Survey, VA Research Currents

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⚠️ Notice: This information collection may be referencing outdated material.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 VA Form 10-10164 VISN 20 Cancer Care Survey, VA Research Currents Form and Instruction
VA Form 10-10164 VISN 20 Cancer Care Survey VISN20 Cancer Care Survey_Veteran Satisfaction 081815.docx Form and Instruction
VA Form 10-10167 Customer Satisfaction Survey on VA Research Communicatio VA Research Currents Reader Survey Final (092815).docx Form and Instruction
fast-track-PRA-submission-short-form CCNT Edited 092315 CLEAN.doc CCNT Edited Clean Version IC Document
Generic_Clearance_Submission_VHA_ORD Edited 092315 CLEAN.doc Research Currents ORD Edited 092315 IC Document

Information Collection (IC) Details

IC Title:	VISN 20 Cancer Care Survey, VA Research Currents	Agency IC Tracking Number:	2900-0770

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	VA Form 10-10164	VISN 20 Cancer Care Survey	VISN20 Cancer Care Survey_Veteran Satisfaction 081815.docx		No		Paper Only
Form and Instruction	VA Form 10-10167	Customer Satisfaction Survey on VA Research Communication, VA Research Currents	VA Research Currents Reader Survey Final (092815).docx	TBD	No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,204	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	3,204	3,204
Annual IC Time Burden (Hours)	260	260
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CCNT Edited Clean Version	fast-track-PRA-submission-short-form CCNT Edited 092315 CLEAN.doc	10/06/2015
Research Currents ORD Edited 092315	Generic_Clearance_Submission_VHA_ORD Edited 092315 CLEAN.doc	10/06/2015

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