Information Collection

Veterans Health Benefits Handbook Satisfaction Survey

IC 194426 under ICR 201607-2900-005 · OMB 2900-0773.

Documents and Forms

Document Name Document Type
Form 10-0507 Veterans Health Benefits Handbook Satisfaction Survey Form and Instruction
10-0507 Veterans Health Benefits Handbook Satisfaction Survey VHBH Survey 062216.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Veterans Health Benefits Handbook Satisfaction Survey	Agency IC Tracking Number:

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
Form and Instruction	10-0507	Veterans Health Benefits Handbook Satisfaction Survey	VHBH Survey 062216.pdf		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,060	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,622	1,622
Annual IC Time Burden (Hours)	135	135
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.