Spanish Benefits Letter Survey

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

OMB: 2900-0876

IC ID: 264139

Documents and Forms
Document Name
Document Type
Other-Survey Instrument
Other-Survey Instrument
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Spanish Benefits Letter Survey 2900-0876 Spanish Letter
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Instrument Spanish Letter Wireframe 1.2.24.docx Yes Yes Fillable Fileable

General Government Executive Functions

Veterans, Dependents of Veterans, and Veteran Beneficiaries  86 FR 6992

4,000 0
   
Individuals or Households
 
   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 4,000 0 0 0 0 4,000
Annual IC Time Burden (Hours) 200 0 0 0 0 200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
A-11 Section 280 Cover Sheet Spanish Letters ICR Template_A11 Section 280 Clearance 8 16 23 (Spanish Letters).docx 01/02/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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