CFM Supplier Electronic Comment Card / CFM Supplier Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.