Peer-to-Peer Survey

Veterans Engagement Action Center (VEAC) Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0912 can be found here:

Documents and Forms

Document Name Document Type
Form Peer-to-Peer Surve Peer-to-Peer Survey Form and Instruction
Form Peer-to-Peer Surve Peer-to-Peer Survey Form and Instruction
Peer-to-Peer Surve Peer-to-Peer Survey Peer-to-Peer Survey Wireframes.pdf Form and Instruction
Peer-to-Peer Surve Peer-to-Peer Survey Peer-to-Peer Survey Wireframes.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Peer-to-Peer Survey	Agency IC Tracking Number:

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 and Instruction	Peer-to-Peer Survey	Peer-to-Peer Survey	Peer-to-Peer Survey Wireframes.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	200	200
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.