VA Solid Start Survey

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

Documents and Forms

Document Name Document Type
Form Solid Start Survey VA Solid Start Survey Form and Instruction
Form Solid Start Survey VA Solid Start Survey Form and Instruction
Solid Start Survey Solid Start Survey Wires Solid Start Survey Wires 2023_04_19.pdf Form and Instruction
Solid Start Survey Solid Start Survey Wires Solid Start Survey Wires 2023_04_19.pdf Form and Instruction
A-11 Fast-Track Clearance Request_VA Solid Start_04032023.pdf VA Solid Start Survey IC Document
A-11 Fast-Track Clearance Request_VA Solid Start_04032023.pdf VA Solid Start Survey IC Document

Information Collection (IC) Details

IC Title:	VA Solid Start Survey	Agency IC Tracking Number:	2900-0876 VA Solid Start Survey

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Solid Start Survey Wires	Solid Start Survey Wires	Solid Start Survey Wires 2023_04_19.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13,309	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	13,309	13,309
Annual IC Time Burden (Hours)	1,109	1,109
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
VA Solid Start Survey	A-11 Fast-Track Clearance Request_VA Solid Start_04032023.pdf	04/24/2023

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