NCA Customer Satisfaction Surveys_

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
APPENDIX_B_2020_STVC_CSS_ 08212020.docx	Supplementary Document	Uploaded 2020-09-23	Available
APPENDIX_A_2020_NC_CSS_08212020.docx	Supplementary Document	Uploaded 2020-09-23	Available
Copy of APPENDIX_C_and_D_NC_STVC_OMB_Submission_08212020.xlsx	Supplementary Document	Uploaded 2020-09-23	Available
White Paper NCA NOK and STVC CSS 08212020.docx	Supplementary Document	Uploaded 2020-09-23	Available
2900-0571 30-Day FRN.pdf	Supplementary Document	Uploaded 2020-05-11	Available
60-day FRN 2900-0571 Generic Surveys.pdf	Supplementary Document	Uploaded 2020-05-11	Available
2900-0571 Comment Card.pdf	Supplementary Document	Uploaded 2020-05-11	Available
2900-0571 MPA Focus Group Burden (1).docx	Supplementary Document	Uploaded 2020-05-11	Available
2900-0571 Justification B_final.docx	Supporting Statement B	Uploaded 2020-05-11	Available
2900-0571 Justification A_2020 Final.docx	Supporting Statement A	Uploaded 2020-05-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
241705	NCA Memorial Products Survey for Next of Kin 2020	Other-Survey	New
241704	NCA State_Tribal_Next of Kin and Funeral Director Satisfaction Survey_2020	Other-Survey	New
241703	NCA Next of Kin and Funeral Directors Satisfaction Survey 2020	Other-Survey	New
241702	NCA Funeral Director Memorial Products Survey	Other-Survey	New

ICR Details

OMB Control No: 2900-0571	ICR Reference No: 202004-2900-008
Status: Active	Previous ICR Reference No: 201609-2900-006
Agency/Subagency: VA	Agency Tracking No: 2900-0571
Title: NCA Customer Satisfaction Surveys_
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/28/2020
	Date Received in OIRA: 05/15/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2023	36 Months From Approved	09/30/2020
Responses	51,650	0	51,650
Time Burden (Hours)	23,658	0	23,658
Cost Burden (Dollars)	0	0	0

---

Abstract: The information will be used to improve the quality of VA services and help shape the direction and focus of specific programs and services.

---

Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 12064	02/28/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 26783	05/05/2020
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
NCA Next of Kin and Funeral Directors Satisfaction Survey 2020
NCA Memorial Products Survey for Next of Kin 2020
NCA Funeral Director Memorial Products Survey
NCA State_Tribal_Next of Kin and Funeral Director Satisfaction Survey_2020

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	51,650	51,650	0	0	0	0
Annual Time Burden (Hours)	23,658	23,658	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $600,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/15/2020

---