Board of Veterans Appeals Hearing Experience Surveys

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⚠️ Notice: This information collection may be referencing outdated material.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
BVA hearing experience eSurvey 2.21.17.docx Other-Web Survey
BVA hearing experience phone survey 2.22.17.docx Other-Phone Survey
Request for BVA Hearing Experience Surveys 2.21.17.docx Board of Veterans’ Appeals Hearing Experience Surveys IC Document

Information Collection (IC) Details

IC Title:	Board of Veterans Appeals Hearing Experience Surveys	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-Web Survey			BVA hearing experience eSurvey 2.21.17.docx	URL TBD	Yes	Yes	Fillable Fileable
Other-Phone Survey			BVA hearing experience phone survey 2.22.17.docx	URL N/A	Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Judicial Hearing

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 37 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,000	8,000
Annual IC Time Burden (Hours)	917	917
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Board of Veterans’ Appeals Hearing Experience Surveys	Request for BVA Hearing Experience Surveys 2.21.17.docx	03/21/2017

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