IOM Invitation Letter

Evaluation of the Department of Veterans Affairs Mental Health Services

Documents and Forms

Document Name Document Type
Att 1 Legislation for VA MH study.pdf Other-Legislation
Att 2_IOM VA MH Services Eval Task 1 Survey - 3-7-16.docx Other-Invitation Letter
Att 3 Reminder Letter 1 04-27-15.pdf Other-Reminder Letter
Att 4 Reminder Letter 2 04-27-15.pdf Other-Reminder Letter
Att 5 Reminder Letter 3 04-27-15.pdf Other-Reminder Letter
Att 6_IOM VA MH Services Eval Task 1 Survey - Frequently Asked Questions 2-2-16.docx Other-Frequently Asked Questions
Att 7_IOM VA MH Services Eval Task 1 Survey - Questionnaire 2-2-16.docx Other-Questionnaire
Att 8 Sampling Overview.pdf Other-Sampling Overview
Att 9 Data Collection flow.pdf Other-Data Collection
Att 10 Data Analyses.pdf Other-Data Analyses
Att 12_Survey COC Certificate.pdf Other-CoC Certificate
Att 11_IOM VA MH Services Eval Task 1 Survey - Introductory CATI Script 2-2-16.docx Other-CATI Script

Information Collection (IC) Details

IC Title:	IOM Invitation Letter	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Legislation	Att 1 Legislation for VA MH study.pdf	No	Fillable Printable
Other-Reminder Letter	Att 3 Reminder Letter 1 04-27-15.pdf	No	Fillable Printable
Other-Reminder Letter	Att 4 Reminder Letter 2 04-27-15.pdf	No	Fillable Printable
Other-Reminder Letter	Att 5 Reminder Letter 3 04-27-15.pdf	No	Fillable Printable
Other-Frequently Asked Questions	Att 6_IOM VA MH Services Eval Task 1 Survey - Frequently Asked Questions 2-2-16.docx	No	Fillable Printable
Other-Questionnaire	Att 7_IOM VA MH Services Eval Task 1 Survey - Questionnaire 2-2-16.docx	No	Fillable Printable
Other-Sampling Overview	Att 8 Sampling Overview.pdf	No	Fillable Printable
Other-Data Collection	Att 9 Data Collection flow.pdf	No	Fillable Printable
Other-Data Analyses	Att 10 Data Analyses.pdf	No	Fillable Printable
Other-CoC Certificate	Att 12_Survey COC Certificate.pdf	No	Paper Only
Other-CATI Script	Att 11_IOM VA MH Services Eval Task 1 Survey - Introductory CATI Script 2-2-16.docx	No	Paper Only
Other-Invitation Letter	Att 2_IOM VA MH Services Eval Task 1 Survey - 3-7-16.docx	No	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,900	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	8,900	8,900
Annual IC Time Burden (Hours)	5,192	5,192
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.