VA and DoD Digital services Brand Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Administrations)

Documents and Forms

Document Name Document Type
VA_Atlas_BD_SurveyQuestions_20170823_FINAL.docx Email submission Other-Email Survey
VE Branding Survey - OMB No2900-0769_082317_150BH.DOCX VA DoD Digital Services Brand Survey IC Document

Information Collection (IC) Details

IC Title:	VA and DoD Digital services Brand 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-Email Survey			VA_Atlas_BD_SurveyQuestions_20170823_FINAL.docx	Email submission	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,000	6,000
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
VA DoD Digital Services Brand Survey	VE Branding Survey - OMB No2900-0769_082317_150BH.DOCX	08/24/2017

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