Information Collection

CFM Supplier Electronic Comment Card / CFM Supplier Satisfaction Survey

IC 211245 under ICR 201107-2900-001 · OMB 2900-0770.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0770 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 10164 CFM Supplier Electronic Comment Card / CFM Supplier Satisfaction Survey	Form
VA Form 10164 CFM Supplier Electronic Comment Card E Comment Card_4-11.pdf To Be Determined	Form
VA Form 10163 CFM Supplier Satisfaction Survey Supplier Satisfaction Survey 4-11.pdf To Be Determined	Form
Generic Fast-Track Request_Supplier Electronic Comment Card_4-11.docx Department of Veterans Affairs (VA) Office of Construction and Facilities Management (CFM) Supplier Electronic Comment Card	IC Document
VA Generic Fast-Track Request_Supplier Satisfaction Survey 4-11.docx Veterans Affairs (VA) Office of Construction and Facilities Management (CFM) Supplier Satisfaction Survey	IC Document
Announcement and Invitation Emails 4-11_nw.docx CFM Announcement and Invitations Email Script	IC Document

IC Title:

CFM Supplier Electronic Comment Card / CFM Supplier Satisfaction Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	VA Form 10164	CFM Supplier Electronic Comment Card	E Comment Card_4-11.pdf	To Be Determined	Yes	Yes	Fillable Fileable
Form	VA Form 10163	CFM Supplier Satisfaction Survey	Supplier Satisfaction Survey 4-11.pdf	To Be Determined	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Department of Veterans Affairs (VA) Office of Construction and Facilities Management (CFM) Supplier Electronic Comment Card	Generic Fast-Track Request_Supplier Electronic Comment Card_4-11.docx	04/11/2014
Veterans Affairs (VA) Office of Construction and Facilities Management (CFM) Supplier Satisfaction Survey	VA Generic Fast-Track Request_Supplier Satisfaction Survey 4-11.docx	04/11/2014
CFM Announcement and Invitations Email Script	Announcement and Invitation Emails 4-11_nw.docx	04/11/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.