Revised MISSION Act Comment Card

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

MDCC_Email_061919_v4

Revised MISSION Act Comment Card

OMB: 2900-0770

Document [pdf]
Download: pdf | pdf
MISSION Act Comment Card
V1.0 DRAFT
06/14/19
Working Draft, Pre-Decisional, Deliberative Document - Internal VA Use Only

EMAIL SUBJECT LINE: VA MISSION Act Experience Survey (2 minutes)

OMB Number: 2900-0770
Expiration: 09/30/2020
Estimated Burden:2 minutes

Your opinion matters
Dear Sara Smith,
We care about your experience with VA. Please take this 2
minute survey to let us know about your experience with
the VA MISSION Act. The more information you share with
us, the better we can serve you.

Take Our Survey
Thank you,
Veterans Experience Office
Department of Veterans Affairs

Whether you’re just getting out of the service, or you’ve been a civilian for years, the VA Welcome
Kit can help guide you to the benefits and services you’ve earned.

The Veterans Crisis Line provides free, confidential support for Veterans and their families and
friends in crisis. Dial 1 (800) 273-8255 (Press 1), or text 838255 to receive confidential support 24/7
(System of Records Notice VA158VA10NC5). Visit https://www.veteranscrisisline.net for
more information.
Additionally, the National Call Center for Homeless Veterans (NCCHV) provides free, confidential
support for Veterans and their family members and friends who are homeless or at risk of
homelessness. Veterans can either call or chat online with the National Call Center for Homeless
Veterans where trained counselors are ready to talk confidentially 24 hours a day, 7 days a week.
Dial 1 (877) 424-3838 or visit https://www.va.gov/HOMELESS/ to receive confidential support.

Please do not reply to this email — it is unmonitored.
If you wish to share your feedback, please do so by August 03, 2018 at 12:35 AM.
You received this email because you provided your email address to VA. If you would like to opt out
from receiving future surveys, please click below.
Unsubscribe from this VA Survey | Privacy Policy
This information is collected in accordance with section 3507 of the Paperwork Reduction Act of
1995. Title 38, United States Code, allows us to ask for this information. We estimate that you will
need an average of 2 minutes to review the instructions and complete this survey. The results of this
survey will be used to inform opportunities for program improvement in the quality of VA services.
Participation in this survey is voluntary, and your decision not to respond will have no impact on VA
benefits or services to which you may currently be receiving. VA cannot conduct or sponsor a
collection of information unless a valid OMB control number is displayed. You are not required to
respond to a collection of information if this number is not displayed. Valid OMB control numbers
can be located on the OMB Internet Page at https://www.reginfo.gov/public/do/PRAMain Information
gathered will be kept private to the extent provided by the law.

MISSION Act Comment Card
V1.0 DRAFT
06/14/19
Working Draft, Pre-Decisional, Deliberative Document - Internal VA Use Only

EMAIL SUBJECT LINE: We still want to hear about your VA MISSION Act experience (2 minutes)

OMB Number: 2900-0770
Expiration: 09/30/2020
Estimated Burden:2 minutes

Your feedback is important to us
Dear John Smith,
VA still wants to hear about your experience with the VA
MISSION Act. Please let us know how we are doing by
taking a 2 minute survey regarding your experience.

Take Our Survey
Thank you,
Veterans Experience Office
Department of Veterans Affairs

Whether you’re just getting out of the service, or you’ve been a civilian for years, the VA Welcome
Kit can help guide you to the benefits and services you’ve earned.

The Veterans Crisis Line provides free, confidential support for Veterans and their families and
friends in crisis. Dial 1 (800) 273-8255 (Press 1), or text 838255 to receive confidential support 24/7
(System of Records Notice VA158VA10NC5). Visit https://www.veteranscrisisline.net for
more information.
Additionally, the National Call Center for Homeless Veterans (NCCHV) provides free, confidential
support for Veterans and their family members and friends who are homeless or at risk of
homelessness. Veterans can either call or chat online with the National Call Center for Homeless
Veterans where trained counselors are ready to talk confidentially 24 hours a day, 7 days a week.
Dial 1 (877) 424-3838 or visit https://www.va.gov/HOMELESS/ to receive confidential support.

Please do not reply to this email — it is unmonitored.
If you wish to share your feedback, please do so by August 03, 2018 at 12:35 AM.
You received this email because you provided your email address to VA. If you would like to opt out
from receiving future surveys, please click below.
Unsubscribe from this VA Survey | Privacy Policy
This information is collected in accordance with section 3507 of the Paperwork Reduction Act of
1995. Title 38, United States Code, allows us to ask for this information. We estimate that you will
need an average of 2 minutes to review the instructions and complete this survey. The results of this
survey will be used to inform opportunities for program improvement in the quality of VA services.
Participation in this survey is voluntary, and your decision not to respond will have no impact on VA
benefits or services to which you may currently be receiving. VA cannot conduct or sponsor a
collection of information unless a valid OMB control number is displayed. You are not required to
respond to a collection of information if this number is not displayed. Valid OMB control numbers
can be located on the OMB Internet Page at https://www.reginfo.gov/public/do/PRAMain.
Information gathered will be kept private to the extent provided by the law.

MISSION Act Comment Card
V1.0 DRAFT
06/14/19
Working Draft, Pre-Decisional, Deliberative Document - Internal VA Use Only

EMAIL SUBJECT LINE: “Unmonitored Automated Email: U.S. Department of Veterans Affairs”

OMB Number: 2900-0770
Expiration: 09/30/2020
Estimated Burden:
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File Modified2019-06-19
File Created2019-06-19

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