VA Voluntary Customer Surveys to Implement E.O. 12862

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2900-0569 Justification Cus Survey.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2007-03-01	Available
2900-0569 NonGrantees Cus Survey.doc	Supplementary Document	Uploaded 2007-03-01	Available
2900-0569 VA SAH Cus Survey.pdf	Supplementary Document	Uploaded 2007-03-01	Available
2900-0569 VA Home Loan Cus Survey.pdf	Supplementary Document	Uploaded 2007-03-01	Available
2900-0569 Lender Survey Customer.doc	Supplementary Document	Uploaded 2007-03-01	Repair queued
2900-0569 OF 41.pdf	Supplementary Document	Uploaded 2007-03-01	Available
2900-0569 voc hab final report.pdf	Supplementary Document	Uploaded 2007-01-11	Available
2900-0569 Educational final report.pdf	Supplementary Document	Uploaded 2007-01-11	Available
2900-0569 Introduction.doc	Supplementary Document	Uploaded 2007-01-11	Available
2900-0569 justification Part B.doc	Supporting Statement B	Uploaded 0000-00-00	Available
2900-0569 justification.doc	Supporting Statement A	Uploaded 0000-00-00	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
28764	VA Voluntary Customer Surveys to Implement E.O. 12862	Other-Survey	Modified

ICR Details

OMB Control No: 2900-0569	ICR Reference No: 200702-2900-005
Status: Historical Inactive	Previous ICR Reference No: 200701-2900-007
Agency/Subagency: VA	Agency Tracking No: 2900-0569
Title: VA Voluntary Customer Surveys to Implement E.O. 12862
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 03/14/2007
	Date Received in OIRA: 03/01/2007
Terms of Clearance: Withdrawn per VA request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2010	02/28/2010	02/28/2010
Responses	95,260	0	95,260
Time Burden (Hours)	19,505	0	19,505
Cost Burden (Dollars)	0	0	0

---

Abstract: Voluntary customer surveys will continue to be used to implement E.O. 12862. The VA will gather the necessary information to determine the kind and quality of services our customers want and their level of satisfaction with existing services. The information will continue to be used to focus the planning and problem solving efforts to customer service issues valued by veterans and their families.

---

Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Standards
   PL: Pub.L. 103 - 62 1 Name of Law: Government Performance and Results Act of 1993 (GPRA)
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 211	11/01/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 4	01/08/2007
Did the Agency receive public comments on this ICR? No

---

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

table that charts list of burden

IC Title	Form No.	Form Name
VA Voluntary Customer Surveys to Implement E.O. 12862

---

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: We project a decrease in the number of burden hours in this request for generic approval from that requested in our previous submission in 2003. Three years ago, we projected 22,692 hours in 2004, 23,022 hours in 2005, and 23,022 hours in 2006 or a yearly average of 22,912. As mentioned above, we are now estimating 19,505 hours per year for 2007 through 2009 or an average of 19,505 hours per annum. This represents an annual decrease of 3,407 hours when comparing the two submissions.

---

Annual Cost to Federal Government: $0

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 03/01/2007

---