Pilot Study for the National Survey of Veterans (NSV), Active Duty Service Members, Activated National Guard and Reserve Members, Family Members and Survivors

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Pilot communication letters.doc	Supplementary Document	Uploaded 2009-03-31	Available
Exhibits 12_Flowcharts.doc	Supplementary Document	Uploaded 2009-03-31	Repair queued
NSV Pilot Data Collection.pdf	Supplementary Document	Uploaded 2009-03-31	Available
NSV Supporting Statement Part B.doc	Supporting Statement B	Uploaded 2009-03-31	Available
NSV Justification Part A.doc	Supporting Statement A	Uploaded 2009-03-31	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
186725	Pilot Study for the National Survey of Veterans (NSV), Active Duty Service Members, Activated National Guard and Reserve Members, Family Members and Survivors	Other-Screener Questionnaire 1	New

ICR Details

OMB Control No: 2900-0726	ICR Reference No: 200809-2900-014
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: Pilot Study for the National Survey of Veterans (NSV), Active Duty Service Members, Activated National Guard and Reserve Members, Family Members and Survivors
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/02/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/19/2008
Terms of Clearance: OMB approves the requested pilot for a period of one year, VA will provide the results from this pilot to OMB during our review of the full scale NSV survey.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2010	36 Months From Approved
Responses	4,889	0	0
Time Burden (Hours)	391	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The NSV will be conducted to obtain needed information that is not available in VA administrative files. This will be the sixth in a series of comprehensive nationwide surveys designed to help VA improve services for beneficiaries and their families. For the first time, the NSV will include active duty service members; activated National Guard and Reserves; and family members and survivors in addition to veterans. The scope of the survey will be expanded to address the requirements of P.L. 108-454, section 805, to assess awareness of veterans’ benefits and services.

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Authorizing Statute(s): US Code: 38 USC 527 Name of Law: Evaluation and data collection
   PL: Pub.L. 108 - 454 805 Name of Law: Report on servicemembers' and veterans' awareness of benefits and services available under laws admi
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 198	10/10/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 245	12/19/2008
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Pilot Study for the National Survey of Veterans (NSV), Active Duty Service Members, Activated National Guard and Reserve Members, Family Members and Survivors

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ICR Summary of Burden

table that charts list of burden

	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	4,889	0	0	4,889	0	0
Annual Time Burden (Hours)	391	0	0	391	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new data collection.

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Annual Cost to Federal Government: $128,874

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)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 12/19/2008

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