Information Collection

VA Office of Construction and Facilities Management (CFM) Supplier Satisfaction Survey Revision

IC 213502 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⚠️ Notice: This information collection may be referencing outdated material.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
Form VA Form 10163 VA Office of Construction and Facilities Management (CFM) Supplier Satisfaction Survey Revision	Form and Instruction
VA Form 10163 CFM Supplier Satisfaction Survey CFM Supplier Satisfaction Survey_Form 10163_v3.pdf www.research.net/s/MX3JK2K	Form and Instruction
VA Generic Fast-Track Request_Supplier Satisfaction Survey 2014.docx (VA) Office of Construction and Facilities Management (CFM) Supplier Satisfaction Survey Revision	IC Document
Summary of Changes to previously approved CFM Survey.docx Summary of Changes to previously approved CFM Survey	IC Document
CFM Survey Announcement Email_2014.docx CFM Survey Announcement Email_2014	IC Document
Prior Notice of Approval for CFM Survey.pdf Prior OMB Notice of Approval for CFM Survey	IC Document

IC Title:

VA Office of Construction and Facilities Management (CFM) Supplier Satisfaction Survey Revision

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 and Instruction	VA Form 10163	CFM Supplier Satisfaction Survey	CFM Supplier Satisfaction Survey_Form 10163_v3.pdf	https://www.research.net/s/MX3JK2K	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	183	183
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
(VA) Office of Construction and Facilities Management (CFM) Supplier Satisfaction Survey Revision	VA Generic Fast-Track Request_Supplier Satisfaction Survey 2014.docx	10/16/2014
Summary of Changes to previously approved CFM Survey	Summary of Changes to previously approved CFM Survey.docx	10/16/2014
CFM Survey Announcement Email_2014	CFM Survey Announcement Email_2014.docx	10/16/2014
Prior OMB Notice of Approval for CFM Survey	Prior Notice of Approval for CFM Survey.pdf	10/16/2014

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