Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) Veterans

Forms and Documents

Document Name	Status
Form VA Form 10-0478 Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom Veterans Form and Instruction	New
FINAL BARRIERS SURVEY - 01.03.11-post-pilot (2).docx Supplementary Document	2011-03-05
A _Supporting_Statement_(v5)1.doc Supporting Statement A	2011-03-05
B _Supporting_Statement_(v5)1.doc Supporting Statement B	2011-03-05
Study Fact Sheet (v4).pdf Supplementary Document	2010-02-19
Survey Notification letter (v4).pdf Supplementary Document	2010-02-19
OPT OUT Form.pdf Supplementary Document	2009-10-20

IC Document Collections

IC ID	Document Title	Status
191043	Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom Veterans Form and Instruction	New

ICR Details

OMB Control No: 2900-0765	ICR Reference No: 200910-2900-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) Veterans
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/16/2011
	Date Received in OIRA: 03/03/2010
Terms of Clearance: Approved consistent with changes submitted by the VA included in the public docket.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	36 Months From Approved
Responses	1,410	0	0
Time Burden (Hours)	1,058	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The findings that difficulty accessing VHA care is a primary barrier for returning OEF/OIF Veterans would suggest the need for increased attention to efforts to streamline the process of care. Also, the findings that stereotypes about the types of Veterans who use VHA services are a barrier to care would point to the potential utility of initiatives aimed at educating Veterans and their family members about the increasingly diverse nature of the VHA patient population. Likewise, gender differences in beliefs about Veterans who seek VHA care might suggest the need to tailor these outreach efforts to the gender of the veteran. The present project will provide reliable and valid measures of barriers to care that can be used by other researchers to study factors that influence Veterans’ health-care behaviors (e.g., use of services, treatment adherence, etc.). With Veterans now returning from Iraq and Afghanistan and seeking services at VHA, researchers require measures they can use to assess barriers to care within this population of Veterans with confidence. The availability of reliable and valid measures of salient barriers to care, and especially stigma-related barriers to care, can be used to enhance the quality of future research on VHA health-care use.

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Authorizing Statute(s): US Code: 38 USC Part 1, Chapter 5, Section 527 Name of Law: Veterans Benefits
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 212	11/04/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 5	01/08/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Health-Care Use Survey for Enduring Freedom and Operation Iraqi Freedom Veterans	VA Form 10-0478	Health Care Use Survey for Enduring Freedom and Operation Iraqi Freedom Veterans

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,410	0	0	1,410	0	0
Annual Time Burden (Hours)	1,058	0	0	1,058	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new collection and all burden hours are considered a program increase.

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Annual Cost to Federal Government: $518,400

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/03/2010

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