Information Collection

VHA Customer Value Online Survey / Customer Value Focus Group

IC 205929 under ICR 201403-2900-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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
VHA Customer Value Online Survey.pdf URL To Be Determined	Other-Online Survey
Voice of Custmr Focus Grp Recruit_Screener Guide .docx	Instruction
VHA Value Focus Group Moderator Guide .docx	Instruction
Generic submission VHA Customer Value Online Survey.docx Generic Request: VHA Online Customer Value Survey	IC Document
Generic Request_VHA Customer Value Focus Groups.docx Generic Request_VHA Customer Value Focus Groups	IC Document

IC Title:

VHA Customer Value Online Survey / Customer Value Focus Group

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1230.8(d)

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online Survey	VHA Customer Value Online Survey.pdf	URL To Be Determined	Yes	Yes	Fillable Fileable
Instruction	Voice of Custmr Focus Grp Recruit_Screener Guide .docx		No		Paper Only
Instruction	VHA Value Focus Group Moderator Guide .docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 860

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	860	860
Annual IC Time Burden (Hours)	423	423
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Request: VHA Online Customer Value Survey	Generic submission VHA Customer Value Online Survey.docx	02/25/2013
Generic Request_VHA Customer Value Focus Groups	Generic Request_VHA Customer Value Focus Groups.docx	02/26/2013

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