Board of Veterans Appeals Surveys

Clearance for A-11 Section 280 Improving Customer Experience Information Collection

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0876 can be found here:

Documents and Forms

Document Name Document Type
Form 2900-0876-Y1 Board of Veterans Appeals Surveys Form and Instruction
2900-0876-Y1 Board Appeal Survey Board Appeal_2.pdf Form and Instruction
2900-0876-Y2 Board Decision Survey Board Decision_2.pdf Form and Instruction
2900-0876-Y3 Board Hearing Survey Board Hearing_2.pdf Form and Instruction
2900-0876-Y4 Board Notice of Disagreement (NOD) Survey Board NOD (002)_2.pdf Form and Instruction
A-11 Generic Clearance Requirements_Board of Veterans Appeals.pdf A-11 Generic Clearance Requirements_Board of Veterans Appeals IC Document
Statistical Sample Plan_Board of Veterans Appeals.pdf Statistical Sample Plan_Board of Veterans Appeals IC Document

Information Collection (IC) Details

IC Title:	Board of Veterans Appeals Surveys	Agency IC Tracking Number:	2900-0876-Y

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2900-0876-Y1	Board Appeal Survey	Board Appeal_2.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2900-0876-Y2	Board Decision Survey	Board Decision_2.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2900-0876-Y3	Board Hearing Survey	Board Hearing_2.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2900-0876-Y4	Board Notice of Disagreement (NOD) Survey	Board NOD (002)_2.pdf	Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Resolution Facilitation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54,360	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	54,360	54,360
Annual IC Time Burden (Hours)	1,812	1,812
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
A-11 Generic Clearance Requirements_Board of Veterans Appeals	A-11 Generic Clearance Requirements_Board of Veterans Appeals.pdf	08/27/2020
Statistical Sample Plan_Board of Veterans Appeals	Statistical Sample Plan_Board of Veterans Appeals.pdf	08/27/2020

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