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pdfDisability Compensation Claims Process Survey
V1 DRAFT
02/14/2023
Working Draft, Pre-Decisional, Deliberative document – Internal VA Use Only
EMAIL SUBJECT LINE: VA Disability Compensation Claims Process Survey (5 minutes)
EMAIL PREHEADER: Tell us about your experience with the VA Disability Compensation
Claims Process.
OMB Number: 2900-0876
Expiration: 2/28/2026
Estimated Burden: 5 minutes
Your opinion matters.
Dear ,
We want to hear about your experience with the VA
Disability Compensation Claims Process. By responding to
this survey, you will directly help us improve the disability
claims process and better support Veterans like 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 988 (Press 1) or 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 .
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
We are asking for this information so that you can provide compliments, recommendations, or
concerns to VA. By filling out this survey, you are authorizing VA database access to retrieve
Veteran contact information to follow up with you accordingly for purposes of service recovery,
potential crisis, or to learn more about feedback you have shared regarding your experience with
VA. Your contact information and response may be referred to the Veterans Crisis Line if an
automated review indicates your response may be concerning. The Veterans Crisis Line may
contact you for follow up as a result of that referral. VA may utilize individual Veteran survey data
from this survey or other sources to ensure the final scores truly and accurately represent the
experiences of Veterans. 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 5 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 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 law.
Hyperlink: https://www.reginfo.gov/public/do/PRAMain
Disability Compensation Claims Process Survey
V1 DRAFT
02/14/2023
Working Draft, Pre-Decisional, Deliberative document – Internal VA Use Only
EMAIL SUBJECT LINE: We still want to hear about your experience with the VA Disability
Compensation Claims Process (5 minutes)
EMAIL PREHEADER: Tell us about your experience with the VA Disability Compensation
Claims Process.
OMB Number: 2900-0876
Expiration: 2/28/2026
Estimated Burden: 5 minutes
Your feedback is important to us.
Dear ,
We care about your experience. Please
take this 5 minute survey to let us know about your
experience with the VA Disability Compensation Claims
Process.
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 988 (Press 1) or 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 .
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
We are asking for this information so that you can provide compliments, recommendations, or
concerns to VA. By filling out this survey, you are authorizing VA database access to retrieve
Veteran contact information to follow up with you accordingly for purposes of service recovery,
potential crisis, or to learn more about feedback you have shared regarding your experience with
VA. Your contact information and response may be referred to the Veterans Crisis Line if an
automated review indicates your response may be concerning. The Veterans Crisis Line may
contact you for follow up as a result of that referral. VA may utilize individual Veteran survey data
from this survey or other sources to ensure the final scores truly and accurately represent the
experiences of Veterans. 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 5 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 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 law.
Hyperlink: https://www.reginfo.gov/public/do/PRAMain
Disability Compensation Claims Process Survey
V1 DRAFT
02/14/2023
Working Draft, Pre-Decisional, Deliberative document – Internal VA Use Only
The VA provides free, confidential support 24/7 for Veterans and their family and friends. If you
are in crisis, contact the Veterans Crisis Line by dialing 988 (Press 1), or dialing 1 (800)
273-8255 (Press 1), or texting 838255, or visiting https://www.veteranscrisisline.net. If you are
homeless or at risk of homelessness, contact the National Call Center for Homeless
Veterans (NCCHV) by dialing 1 (877) 424-3838 or visiting https://www.va.gov/HOMELESS/.
OMB Number: 2900-0876
Expiration: 2/28/2026
Estimated Burden:5 minutes
Help us serve you better.
We want to hear about your experience with the VA Disability
Compensation Claims Process. By responding to this survey, you will
directly help us improve the disability claims process and better support
Veterans like you.
The following questions ask about the disability claim that you most recently received a decision on.
This survey should take approximately 5 minutes to complete.
All questions below are required.
Please indicate how you filed your disability compensation claim:
Required
Online
By mail or fax
In person
Someone submitted on my behalf
Please indicate the help you relied on the most throughout the disability compensation claims
process:
Required
No assistance
VA Call Center Representative
VA employee (in-person)
National Veteran Service Organization Representative
County Veteran Service Officer
State Veteran Service Organization Representative
Attorney or accredited agent
Family member or friend
Please indicate the VA informational resource you used the most throughout the disability Required
compensation claims process:
VA website (e.g., VA.gov) or app
VA printed media (I.e., benefits booklet, pamphlet, brochure or poster)
Correspondence from VA regarding compensation claims (e.g., evidence gathering letter, emails)
VA digital/social media (e.g., VA Facebook, YouTube)
Other
I did not use any VA resources
Logic: The answer selected for this question is inserted in Q4.
Pipe-in values:
- VA website or app
- VA printed media
- Correspondence from VA regarding compensation claims
- VA digital/social media
Logic: If the respondent selects “Other” pipe in “the VA informational resource
indicated above”
Logic: If the respondent selects “I did not use any VA resources” skip Q4
The [VA resource selected in Q3] helped me to know what to expect throughout the disability
compensation claims process.
Required
Strongly
Disagree
1
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
2
3
4
5
Not Applicable
(N/A)
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe in value is the the respondent response from the question.
Logic: If the respondent selects “N/A” Comment Box does NOT appear
The VA communicated what evidence was needed to support my disability compensation Required
claim.
Strongly
Disagree
1
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
2
3
4
5
Not Applicable
(N/A)
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe in value is the the respondent response from the question.
Logic: If the respondent selects “N/A” Comment Box does NOT appear
I believe the compensation medical exam process (e.g., scheduling, notice, travel) was easy.
Required
Strongly
Disagree
1
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
2
3
4
5
Not Applicable
(N/A)
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe in value is the the respondent response from the question.
Logic: If the respondent selects “N/A” Comment Box does NOT appear
The online platform and/or letters gave me useful status updates throughout the disability Required
compensation claims process.
Strongly
Disagree
1
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
2
3
4
5
Not Applicable
(N/A)
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe in value is the the respondent response from the question.
Logic: If the respondent selects “N/A” Comment Box does NOT appear
I received the results of my disability compensation claim in a reasonable amount of time. Required
Strongly
Disagree
1
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
2
3
4
5
Not Applicable
(N/A)
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe in value is the the respondent response from the question.
Logic: If the respondent selects “N/A” Comment Box does NOT appear
VA’s notification letter thoroughly explained the reasons and bases for my disability
compensation claims decision.
Strongly
Disagree
1
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
2
3
4
5
Required
Not Applicable
(N/A)
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe in value is the the respondent response from the question.
Logic: If the respondent selects “N/A” Comment Box does NOT appear
I believe I got a fair rating decision for my disability compensation claim.
Strongly
Disagree
1
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
2
3
4
5
Required
Not Applicable
(N/A)
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe in value is the the respondent response from the question.
Logic: If the respondent selects “N/A” Comment Box does NOT appear
I felt the evidence submitted in my disability compensation claim was fully reviewed and
considered.
Strongly
Disagree
1
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
2
3
4
5
Required
Not Applicable
(N/A)
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe in value is the the respondent response from the question.
Logic: If the respondent selects “N/A” Comment Box does NOT appear
I understood that I had additional options if I disagreed with my disability compensation claim
decision (e.g., decision review, appeal).
Required
Strongly
Disagree
1
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
2
3
4
5
Not Applicable
(N/A)
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe in value is the the respondent response from the question.
Logic: If the respondent selects “N/A” Comment Box does NOT appear
I trust the VA to make fair and accurate decisions on disability compensation claims.
Strongly
Disagree
1
Disagree
Neither Agree
nor Disagree
Agree
Strongly
Agree
2
3
4
5
Required
Not Applicable
(N/A)
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe in value is the the respondent response from the question.
Logic: If the respondent selects “N/A” Comment Box does NOT appear
Finish
We are asking for this information so that you can provide compliments, recommendations, or concerns to VA. By filling out
this survey, you are authorizing VA database access to retrieve Veteran contact information to follow up with you accordingly
for purposes of service recovery, potential crisis, or to learn more about feedback you have shared regarding your
experience with VA. Your contact information and response may be referred to the Veterans Crisis Line if an automated
review indicates your response may be concerning. The Veterans Crisis Line may contact you for follow up as a result of
that referral. VA may utilize individual Veteran survey data from this survey or other sources to ensure the final scores truly
and accurately represent the experiences of Veterans. 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 5 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 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 law.
Hyperlink: https://www.reginfo.gov/public/do/PRAMain
Privacy Policy
Disability Compensation Claims Process Survey
V1 DRAFT
02/14/2023
Working Draft, Pre-Decisional, Deliberative document – Internal VA Use Only
The VA provides free, confidential support 24/7 for Veterans and their family and friends. If you
are in crisis, contact the Veterans Crisis Line by dialing 988 (Press 1), or dialing 1 (800)
273-8255 (Press 1), or texting 838255, or visiting https://www.veteranscrisisline.net. If you are
homeless or at risk of homelessness, contact the National Call Center for Homeless
Veterans (NCCHV) by dialing 1 (877) 424-3838 or visiting https://www.va.gov/HOMELESS/.
OMB Number: 2900-0876
Expiration: 2/28/2026
Estimated Burden:5 minutes
Thank you for choosing VA.
The U.S. Department of Veterans Affairs uses these surveys to collect
your feedback in order to continuously improve your experience with VA
services.
Please visit VA.gov to explore benefits, resources, and information
at VA.
We are asking for this information so that you can provide compliments, recommendations, or concerns to VA. By filling out
this survey, you are authorizing VA database access to retrieve Veteran contact information to follow up with you accordingly
for purposes of service recovery, potential crisis, or to learn more about feedback you have shared regarding your
experience with VA. Your contact information and response may be referred to the Veterans Crisis Line if an automated
review indicates your response may be concerning. The Veterans Crisis Line may contact you for follow up as a result of
that referral. VA may utilize individual Veteran survey data from this survey or other sources to ensure the final scores truly
and accurately represent the experiences of Veterans. 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 5 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 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 law.
Hyperlink: https://www.reginfo.gov/public/do/PRAMain
Privacy Policy
| File Type | application/pdf |
| File Modified | 2023-03-08 |
| File Created | 2023-03-08 |