№ files_lp_4_process_1_38521
Survey document requesting approval under federal guidelines for collecting routine feedback on veteran cultural care satisfaction at a medical center.
Year: 2026
Region / City: Milwaukee, WI, USA
Theme: Mental Health, Veteran Services, Cultural Care
Document Type: Survey Request / Federal Clearance Form
Agency / Institution: Department of Veterans Affairs, Milwaukee VAMC
Author: Bertrand D. Berger, Ph.D., Mental Health Division Manager
Target Audience: Veterans receiving mental health care
Purpose: To collect feedback on cultural care satisfaction among veterans
Collection Method: Web-based survey via Qualtrics
Number of Respondents: 100 completed surveys from 1000 contacted
Estimated Burden Hours: 16.6 hours
Federal Cost: $1000
Personally Identifiable Information Collected: No
Incentives Provided: No
Sampling Method: Random selection from VA medical records of eligible veterans
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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