Download:
pdf |
pdfDisability Compensation Claims Process Survey
V1 DRAFT 03/09/2023
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.
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 03/09/2023
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 opinion matters.
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.
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 03/09/2023
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.
[1] Please indicate how you filed your disability compensation claim:
o
o
o
o
Required
Online
By mail or fax
In person
Someone submitted on my behalf
[2] Please indicate the help you relied on the most throughout the disability compensation
claims process:
o
o
o
o
o
o
No assistance
VA Call Center Representative
VA employee (in-person)
National Veteran Service Organization Representative
County Veteran Service Officer
State Veteran Service Organization Representative
Required
o
o
Attorney or accredited agent
Family member or friend
[3] Please indicate the VA informational resource you used the most throughout the disability
compensation claims process:
Required
o
o
o
o
o
o
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
Logic: The answer selected for this question is inserted in
Q4.
I did not use any VA resources
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”
[4] The [VA resource selected in Q3] helped me to know what to expect throughout the disability
compensation claims process.
Required
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe-in value is the respondent response from the question
Logic: if the respondent selects “N/A”, Comment box does NOT appear
[5] The VA communicated what evidence was needed to support my disability compensation
claim.
Required
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe-in value is the respondent response from the question
Logic: if the respondent selects “N/A”, Comment box does NOT appear
[6] I believe the compensation medical exam process (e.g., scheduling, notice, travel) was
easy.
Required
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe-in value is the respondent response from the question
Logic: if the respondent selects “N/A”, Comment box does NOT appear
[7] The online platform and/or letters gave me useful status updates throughout the disability
compensation claims process.
Required
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe-in value is the respondent response from the question
Logic: if the respondent selects “N/A”, Comment box does NOT appear
[8] I received the results of my disability compensation claim in a reasonable amount of time.
Required
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe-in value is the respondent response from the question
Logic: if the respondent selects “N/A”, Comment box does NOT appear
[9] VA’s notification letter thoroughly explained the reasons and bases for my disability
compensation claims decision.
Required
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe-in value is the respondent response from the question
Logic: if the respondent selects “N/A”, Comment box does NOT appear
[10] I believe I got a fair rating decision for my disability compensation claim.
Required
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe-in value is the respondent response from the question
Logic: if the respondent selects “N/A”, Comment box does NOT appear
[11] I felt the evidence submitted in my disability compensation claim was fully reviewed and
considered.
Required
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe-in value is the respondent response from the question
Logic: if the respondent selects “N/A”, Comment box does NOT appear
[12] I understood that I had additional options if I disagreed with my disability compensation
claim decision (e.g., decision review, appeal).
Required
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe-in value is the respondent response from the question
Logic: if the respondent selects “N/A”, Comment box does NOT appear
[13] I trust the VA to make fair and accurate decisions on disability compensation claims.
Required
You selected [pipe]. Please tell us more about why you selected this response.
0/400
Pipe-in value is the respondent response from the question
Logic: if the respondent selects “N/A”, Comment box does NOT appear
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 03/09/2023
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
| File Type | application/pdf |
| Author | Weller, Andrew J. (BAH) |
| File Modified | 2023-05-02 |
| File Created | 2023-05-02 |