Information Collection

Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card

IC 28730 under ICR 201407-2900-021 · OMB 2900-0548.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form VA Form 0745 Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card	Form
VA Form 0745 Board of Veterans' Appeals Hearing Survey Card VA0745cc.pdf	Form
2900-0548_justification_Part_A (2014).docx Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card	IC Document

IC Title:

Agency IC Tracking Number:

2900-0548

Is this a Common Form? No

IC Status: Modified

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	VA Form 0745	Board of Veterans' Appeals Hearing Survey Card	VA0745cc.pdf		No		Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 585

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	585	-65	650
Annual IC Time Burden (Hours)	59	-6	65
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card	2900-0548_justification_Part_A (2014).docx	12/09/2014

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