Information Collection

Department of Veterans Affairs (VA) National Acquisition Center Customer Response Survey

IC 28954 under ICR 201203-2900-012 · OMB 2900-0676.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2900-0676 NAC Survey Form.doc www1.va.gov/nac/customersurvey	Other-Survey

IC Title:

Agency IC Tracking Number:

2900-0676

Is this a Common Form? No

IC Status: Unchanged

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
Other-Survey			2900-0676 NAC Survey Form.doc	www1.va.gov/nac/customersurvey	Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Goods Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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