OMB
.report
Search
Ethics Consultation Feedback Tool
Ethics Consultation Feedback Tool (ECFT)
OMB: 2900-0750
IC ID: 192020
OMB.report
VA
OMB 2900-0750
ICR 201709-2900-016
IC 192020
( )
Documents and Forms
Document Name
Document Type
Form VA Form 10-10065
Ethics Consultation Feedback Tool
Form
VA Form 10-10065 Ethics Consultation Feedback Tool
VA Form 10-10065.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Ethics Consultation Feedback Tool
Agency IC Tracking Number:
2900-0750
Is this a Common Form?
No
IC Status:
Modified
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
VA Form 10-10065
Ethics Consultation Feedback Tool
VA Form 10-10065.pdf
ECWeb
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
569
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
569
0
365
0
204
0
Annual IC Time Burden (Hours)
47
0
30
0
17
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
