Information Collection

National Survey of Women Veterans

IC 182861 under ICR 200711-2900-009 · OMB 2900-0714.

Documents and Forms

Document Name Document Type
Form 10-21086(NR) National Survey of Women Veterans Form
10-21086(NR) National Survey of Women Veterans NSWV OMB Survey Instrument 122007rev.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Survey of Women Veterans	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 38 CFR Part 1, Chapter 5 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10-21086(NR)	National Survey of Women Veterans	NSWV OMB Survey Instrument 122007rev.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,500	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	3,500	3,500
Annual IC Time Burden (Hours)	2,625	2,625
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.