CONSUMER SAMPLING LETTER (QUESTIONNAIRE RE QUALITY OF SERVICE RENDERED

ICR 198011-2900-087

OMB: 2900-0127

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2900-0127 198011-2900-087
Historical Active 197512-2900-014
VA
CONSUMER SAMPLING LETTER (QUESTIONNAIRE RE QUALITY OF SERVICE RENDERED
No material or nonsubstantive change to a currently approved collection   No
Emergency 11/06/1980
Approved with change 11/06/1980
Retrieve Notice of Action (NOA) 11/06/1980
  Inventory as of this Action Requested Previously Approved
01/31/1981 01/31/1981 01/31/1981
9,000 0 9,450
1,500 0 1,575
0 0 0

RESPONSES OBTAINED FROM THIS LETTER PROVIDE AN INDICATION TO SUPERVISORS OF QUALITY OF SERVICE BEING PROVIDED AND WHETHER THERE IS A NEED FOR CLOSER SUPERVISION. 38 U.S.C. 210 AND 219B.

None
None


No

1
IC Title Form No. Form Name
CONSUMER SAMPLING LETTER (QUESTIONNAIRE RE QUALITY OF SERVICE RENDERED FL23-652, FL27-652

  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 9,000 9,450 0 -450 0 0
Annual Time Burden (Hours) 1,500 1,575 0 -75 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/06/1980


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