NCA Emerging Burial Needs Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2012_Follow-up post card for 1st Mail Survey.pdf.pdf	Supplementary Document	Uploaded 2013-02-13	Available
2012_Postcard for Online Survey Follow-up.pdf.pdf	Supplementary Document	Uploaded 2013-02-13	Available
5_Cover Letter 2nd Mail Survey_Feb13.pdf	Supplementary Document	Uploaded 2013-02-13	Available
3_Cover Letter 1st Mail Survey_Feb13.pdf	Supplementary Document	Uploaded 2013-02-13	Available
Invitation Letter for On-Line Survey_Feb13.pdf	Supplementary Document	Uploaded 2013-02-13	Available
NCA Survey Letters and Cards.docx	Supplementary Document	Uploaded 2012-11-14	Available
Veterans_Burial_Benefits_Survey_Justification_B - NCA Response 13022013_2.docx	Supporting Statement B	Uploaded 2013-02-13	Available
Veterans_Burial_Benefits_Survey_Justification_A - NCA Response 13022013_2 emp edit (5).docx	Supporting Statement A	Uploaded 2013-04-04	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
205982	NCA Emerging Burial Needs Survey (Online)	Instruction	New
205762	Structured Interviews	Instruction	New
205761	NCA Focus Group ModGuide	Instruction	New
203814	NCA Emerging Burial Needs Survey	Instruction	New

ICR Details

OMB Control No: 2900-0792	ICR Reference No: 201208-2900-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: VA	Agency Tracking No:
Title: NCA Emerging Burial Needs Survey
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: 04/05/2013
	Date Received in OIRA: 11/27/2012
Terms of Clearance: Within 2 weeks of this approval, VA will upload the final version of the online survey as a non-substantive change.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2016	36 Months From Approved
Responses	15,516	0	0
Time Burden (Hours)	3,887	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: A broad look at the Veterans' satisfaction with their current burial benefits within the National Cemetery System and what role, if any, new offerings might play in future.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Customer Satisfaction
  

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:
	77 FR 178	09/13/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 226	11/23/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
NCA Focus Group ModGuide
Structured Interviews
NCA Emerging Burial Needs Survey (Online)
NCA Emerging Burial Needs Survey

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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	15,516	0	0	15,516	0	0
Annual Time Burden (Hours)	3,887	0	0	3,887	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: New data collection

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Annual Cost to Federal Government: $899,697

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 11/27/2012

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