Veteran Experience and Satisfaction with the Department of Veterans Affairs Compensation and Pension Claims Examination 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⚠️ Notice: This information collection may be referencing outdated material.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
CP Examination Feedback Survey (June 2016 Version).docx www.surveymonkey.com/create/survey/preview?r=true&sm=QXTsaIRDzWQ6IrDkAdr_2BKGO4DfgjEUL963_2BRJfcoEyoT_2BM0WQn_2FPDt2R5xZ Other-Survey
C&P Exam Survey screen shot of url (June 2016 version).docx C&P Exam Survey screen shot of url (June 2016 version) IC Document
VA Generic Fast-Track Clearance Request-CP Exam (6-2016).docx VA Generic Fast-Track Clearance Request-CP Exam (6-2016) IC Document
CP Exam Survey White Paper (2900-0770), June 2016 version.docx C&P Exam Survey White Paper (2900-0770) IC Document

Information Collection (IC) Details

IC Title:	Veteran Experience and Satisfaction with the Department of Veterans Affairs Compensation and Pension Claims Examination 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
Other-Survey			CP Examination Feedback Survey (June 2016 Version).docx	https://www.surveymonkey.com/create/survey/preview?r=true&sm=QXTsaIRDzWQ6IrDkAdr_2BKGO4DfgjEUL963_2BRJfcoEyoT_2BM0WQn_2FPDt2R5xZP_2F_2Buh	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	1,167	1,167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
C&P Exam Survey screen shot of url (June 2016 version)	C&P Exam Survey screen shot of url (June 2016 version).docx	06/13/2016
VA Generic Fast-Track Clearance Request-CP Exam (6-2016)	VA Generic Fast-Track Clearance Request-CP Exam (6-2016).docx	06/13/2016
C&P Exam Survey White Paper (2900-0770)	CP Exam Survey White Paper (2900-0770), June 2016 version.docx	06/13/2016

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