My HealtheVet Summative Usability Test / VE Non-Sub Change Request_WH HotlineCallSurvey Gender

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⚠️ Notice: This information collection may be referencing outdated material.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
MHV MVAHJ Joint Study Plan.docx Usability Testing Other-Study Plan
4.27.18 WHHL SurveyCopyDeck.pdf Email Survey and Phone Survey Other-Survey/Script
VA Generic Fast-Track Clearance Request MHV 2018 Summative Testing.docx Generic Request_MHV Summative Test IC Document
WH_Hotline Gender_NonSubChange_05.03.18.docx WH_Hotline Gender_NonSubChange_05.03.18 IC Document
2900-0770 WH_HotlineSurvey_FastTrack_Request.docx 2900-0770 WH_HotlineSurvey_FastTrack_Request IC Document
NOA 4-19-18 WhiteHouse HotlineCallSurvey.pdf NOA 4-19-18 WhiteHouse HotlineCallSurvey IC Document

Information Collection (IC) Details

IC Title:	My HealtheVet Summative Usability Test / VE Non-Sub Change Request_WH HotlineCallSurvey Gender	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
Other-Study Plan			MHV MVAHJ Joint Study Plan.docx	Usability Testing	No		Paper Only
Other-Survey/Script			4.27.18 WHHL SurveyCopyDeck.pdf	Email Survey and Phone Survey	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	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	18	18
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Request_MHV Summative Test	VA Generic Fast-Track Clearance Request MHV 2018 Summative Testing.docx	04/19/2018
WH_Hotline Gender_NonSubChange_05.03.18	WH_Hotline Gender_NonSubChange_05.03.18.docx	05/04/2018
2900-0770 WH_HotlineSurvey_FastTrack_Request	2900-0770 WH_HotlineSurvey_FastTrack_Request.docx	05/04/2018
NOA 4-19-18 WhiteHouse HotlineCallSurvey	NOA 4-19-18 WhiteHouse HotlineCallSurvey.pdf	05/04/2018

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