Ethics Consultation Feedback Tool (ECFT)

ICR 201709-2900-016

OMB: 2900-0750

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2018-07-12
Supplementary Document
2018-04-16
Supporting Statement A
2018-07-17
IC Document Collections
IC ID
Document
Title
Status
192020 Modified
ICR Details
2900-0750 201709-2900-016
Active 201304-2900-006
VA 2900-0750
Ethics Consultation Feedback Tool (ECFT)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/30/2018
Retrieve Notice of Action (NOA) 07/17/2018
  Inventory as of this Action Requested Previously Approved
08/31/2021 36 Months From Approved
569 0 0
47 0 0
0 0 0

Ethics consultation is a service provided in all Veterans Health Administration (VHA) facilities. Ensuring the success of the ethics consultation service requires ongoing evaluation, underscoring systematic assessment of the operation and/or outcomes of a program compared to a set of explicit or implicit standards, as a means of contributing to the continuous improvement of the program. Evaluation is an important strategy to improve the process of ethics consultation (i.e., how ethics consultation is being performed) as well as its outcomes (i.e., how ethics consultation affects participants and the facility.

US Code: 38 USC Part 1, Chapter 5, Sec. 527 Name of Law: Veterans Benefits
  
None

Not associated with rulemaking

  82 FR 52972 11/15/2017
83 FR 19141 05/01/2018
No

1
IC Title Form No. Form Name
Ethics Consultation Feedback Tool VA Form 10-10065 Ethics Consultation Feedback Tool

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 569 0 0 365 0 204
Annual Time Burden (Hours) 47 0 0 30 0 17
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Actual data 4th quarter FY 16 through 3rd quarter FY 17 indicates that more people are completing the tool which is providing valuable feedback needed to improve ethics consultation services to Veterans, families and staff. In addition, the hour salary rate has increased.

$569
No
    No
    No
No
No
No
Uncollected
Cynthia Harvey - Pryor 202 461-5870 cynthia.harvey-pryor@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.
07/17/2018


© 2024 OMB.report | Privacy Policy