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Compassionate Contact Corps Survey
Clearance for A-11 Section 280 Improving Customer Experience Information Collection
OMB: 2900-0876
IC ID: 262424
OMB.report
VA
OMB 2900-0876
ICR 202503-2900-010
IC 262424
( )
Documents and Forms
Document Name
Document Type
Form Compassionate Cont
Compassionate Contact Corps Survey
Form and Instruction
Form Compassionate Cont
Compassionate Contact Corps Survey
Form and Instruction
Compassionate Cont Compassionate Contact Corps - Veteran
Survey Wireframe - Compassionate Contact Corps - Veteran.docx
Form and Instruction
Compassionate Cont Compassionate Contact Corps - Veteran
Survey Wireframe - Compassionate Contact Corps - Veteran.docx
Form and Instruction
Compassionate Cont Compassionate Contact Corps - Volunteer
Survey Wireframe - Compassionate Contact Corps - Volunteer.docx
Form and Instruction
Compassionate Cont Compassionate Contact Corps - Volunteer
Survey Wireframe - Compassionate Contact Corps - Volunteer.docx
Form and Instruction
ICR Template_A11 Section 280 Clearance 9 23 23 - CCC.pdf
Compassionate Contact Corps
IC Document
ICR Template_A11 Section 280 Clearance 9 23 23 - CCC.pdf
Compassionate Contact Corps
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Compassionate Contact Corps Survey
Agency IC Tracking Number:
2900-0876 Compassionate Contact Corps
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
Compassionate Contact Corps - Veteran
Compassionate Contact Corps - Veteran
Survey Wireframe - Compassionate Contact Corps - Veteran.docx
Yes
Yes
Fillable Fileable
Form and Instruction
Compassionate Contact Corps - Volunteer
Compassionate Contact Corps - Volunteer
Survey Wireframe - Compassionate Contact Corps - Volunteer.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
Veterans, Dependents of Veterans, and Veteran Beneficiaries
FR Citation:
86 FR 6992
Number of Respondents:
1,700
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,700
0
0
0
0
1,700
Annual IC Time Burden (Hours)
142
0
0
0
0
142
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Compassionate Contact Corps
ICR Template_A11 Section 280 Clearance 9 23 23 - CCC.pdf
09/27/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.