uSPEQ® Consumer Experience Survey (Rehabilitation)

OMB 2900-0752

The uSPEQ® is a confidential, anonymous, and scientifically-tested consumer reporting system that gives persons served a voice in their services. There is a current absence of an existing survey model that is psychometrically sound and nationally benchmarked for survey of consumer experiences in VA rehabilitation programs. VA rehabilitation programs are committed to adopting the uSPEQ® survey to assess outcome measures related to patient perceptions of and perspectives regarding rehabilitation experiences. VA recognizes that adoption of this survey provides a systems approach and benchmarking capability for patient assessed outcomes of care.

The latest form for uSPEQ® Consumer Experience Survey (Rehabilitation) expires 2020-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form VA Form 10-0467 uSPEQ® Consumer Experience Survey (Rehabilitation) Form
30-day FRN_uSPEQ Consumer Experience_2900-0752_published 09282021.pdf Supplementary Document
60-day FRN_uSPEQ Consumer Experience_2900-0752_published 06302021.pdf Supplementary Document
Supporting Statement A_uSPEQ Consumer Experience Survey_2900-0752_updated Oct 2021.docx Supporting Statement A
Supporting Statement B_uSPEQ Survey_2900-0752_Jul 2021.docx Supporting Statement B
uSPEQ® Consumer Experience Survey (Rehabilitation) Form

All Historical Document Collections

202103-2900-007 Approved without change	Reinstatement without change of a previously approved collection	2021-10-29
201703-2900-002 Approved without change	Extension without change of a currently approved collection	2017-03-21
201611-2900-012 Approved without change	Reinstatement without change of a previously approved collection	2016-11-30
201304-2900-007 Approved without change	Extension without change of a currently approved collection	2013-09-09
200901-2900-014 Approved with change	New collection (Request for a new OMB Control Number)	2009-05-19