Barriers to Health Care for Women Veterans Survey

Documents and Forms

Document Name Document Type
Barriers to Health Care for Women Veterans Survey_2900-0795_draft_updated Oct 2022.docx Other-Telephonic Script
Barriers to Health Care for Women Veterans Survey_2900-0795_draft_updated Oct 2022.docx Other-Telephonic Script

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Barriers to Health Care for Women Veterans Survey	Agency IC Tracking Number:	2900-0795

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
Other-Telephonic Script			Barriers to Health Care for Women Veterans Survey_2900-0795_draft_updated Oct 2022.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,200	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	7,200	7,200
Annual IC Time Burden (Hours)	5,400	5,400
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.