Vietnam-Era Veterans Follow-up Telephone Survey

Accelerated Aging among Vietnam-Era Veterans Survey

Documents and Forms

Document Name Document Type
Phone survey updated 5.23.18.pdf Other-Phone Survey
CATI Intro to Vietnam-Era Veterans Follow-up Telephone Survey_OMB passback revisions_8.9.19.docx Other-Script

Information Collection (IC) Details

IC Title:	Vietnam-Era Veterans Follow-up Telephone Survey	Agency IC Tracking Number:

Is this a Common Form? No		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-Phone Survey			Phone survey updated 5.23.18.pdf		No		Paper Only
Other-Script			CATI Intro to Vietnam-Era Veterans Follow-up Telephone Survey_OMB passback revisions_8.9.19.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Veteran, Patient, Employee and Volunteer Research and Development Project Records-VA (34VA12)	FR Citation: 59 FR 16705

Number of Respondents: 3,650	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	3,650	3,650
Annual IC Time Burden (Hours)	2,738	2,738
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.