VA.gov A-11 Surveys

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

Documents and Forms

Document Name Document Type
Form VA.gov VFS Questio VA.gov A-11 Surveys Form and Instruction
Form VA.gov VFS Questio VA.gov A-11 Surveys Form and Instruction
VA.gov VFS Questio VA.gov VFS Questionnaire - 01202023 HF VA.gov VFS Questionnaire - 01202023 HF.pdf Form and Instruction
VA.gov VFS Questio VA.gov VFS Questionnaire - 01202023 HF VA.gov VFS Questionnaire - 01202023 HF.pdf Form and Instruction
VA.gov VFS - Searc VA.gov VFS - Search Questionnaire - 01202023 HF VA.gov VFS - Search Questionnaire - 01202023 HF.pdf Form and Instruction
VA.gov VFS - Searc VA.gov VFS - Search Questionnaire - 01202023 HF VA.gov VFS - Search Questionnaire - 01202023 HF.pdf Form and Instruction
VA.gov VFS - ChatB VA.gov VFS - ChatBot Questionnaire - 01202023 HF VA.gov VFS - ChatBot Questionnaire - 01202023 HF.pdf Form and Instruction
VA.gov VFS - ChatB VA.gov VFS - ChatBot Questionnaire - 01202023 HF VA.gov VFS - ChatBot Questionnaire - 01202023 HF.pdf Form and Instruction
VA.gov A11 Questio VA.gov A11 Questionnaire - 01202023 HF VA.gov A11 Questionnaire - 01202023 HF.pdf Form and Instruction
VA.gov A11 Questio VA.gov A11 Questionnaire - 01202023 HF VA.gov A11 Questionnaire - 01202023 HF.pdf Form and Instruction
A-11 Fast-Track Clearance Request VA.gov.pdf A-11 Fast-Track Clearance Request VA.gov IC Document
A-11 Fast-Track Clearance Request VA.gov.pdf A-11 Fast-Track Clearance Request VA.gov IC Document

Information Collection (IC) Details

IC Title:	VA.gov A-11 Surveys	Agency IC Tracking Number:	2900-0876 VA.gov A-11 Surveys

IC Status: Unchanged

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	VA.gov VFS Questionnaire - 01202023 HF	VA.gov VFS Questionnaire - 01202023 HF	VA.gov VFS Questionnaire - 01202023 HF.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VA.gov VFS - Search Questionnaire - 01202023 HF	VA.gov VFS - Search Questionnaire - 01202023 HF	VA.gov VFS - Search Questionnaire - 01202023 HF.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VA.gov VFS - ChatBot Questionnaire - 01202023 HF	VA.gov VFS - ChatBot Questionnaire - 01202023 HF	VA.gov VFS - ChatBot Questionnaire - 01202023 HF.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	VA.gov A11 Questionnaire - 01202023 HF	VA.gov A11 Questionnaire - 01202023 HF	VA.gov A11 Questionnaire - 01202023 HF.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	300,000	300,000
Annual IC Time Burden (Hours)	15,000	15,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
A-11 Fast-Track Clearance Request VA.gov	A-11 Fast-Track Clearance Request VA.gov.pdf	02/13/2023

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