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uSPEQ® Consumer Experience Survey (Rehabilitation)
uSPEQ® Consumer Experience Survey (Rehabilitation)
OMB: 2900-0752
IC ID: 187874
OMB.report
VA
OMB 2900-0752
ICR 202103-2900-007
IC 187874
( )
Documents and Forms
Document Name
Document Type
Form VA Form 10-0467
uSPEQ® Consumer Experience Survey (Rehabilitation)
Form
VA Form 10-0467 uSPEQ Consumer Experience Survey (Rehabilitation)
uSPEQ Survey (09).pdf
To Be Determined
Form
VA Form 10-0467 uSPEQ Consumer Experience Survey (Rehabilitation)
uSPEQ Survey (09).pdf
To Be Determined
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
uSPEQ® Consumer Experience Survey (Rehabilitation)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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 10-0467
uSPEQ Consumer Experience Survey (Rehabilitation)
uSPEQ Survey (09).pdf
To Be Determined
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
384,000
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
384,000
0
0
0
384,000
0
Annual IC Time Burden (Hours)
32,000
0
0
0
32,000
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.
