Home Monitoring for Early Detection of Chronic Disease Exacerbation (COPD)

Home Monitoring for Early Detection of
Chronic Disease Exacerbation.
OMB No. 2900-0770

Estimated Burden: 12.5 minutes
Expiration Date: 9/30/2020

The Paperwork Reduction Act of 1995: This information is collected in accordance with section
3507 of the Paperwork Reduction Act of 1995. Accordingly, we may not conduct or sponsor and you
are not required to respond to, a collection of information unless it displays a valid OMB number. We
anticipate that the time expended by all individuals who complete this survey will average 12.5
minutes. This includes the time it will take to follow instructions, gather the necessary facts and
respond to questions asked. Customer satisfaction is used to gauge customer perceptions of VA
services as well as customer expectations and desires. The results of this telephone/mail survey will
lead to improvements in the quality of service delivery by helping to achieve improved services.
Participation in this survey is voluntary and failure to respond will have no impact on benefits to which
you may be entitled.

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