Information Collection Request

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

ICR 202508-2900-010 · OMB 2900-0876 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form OPPCS WF OPPCS WF Form and Instruction New Available
Form VSO Feedback Surve VSO Feedback Survey_OTED_Ad Hoc Form and Instruction New Available
Form SSVF Homelessness SSVF Homelessness Survey Questions_Updated 002 Form and Instruction New Available
A-11 Fast-Track Clearance Request Template 2025-12-17.docx Supplementary Document Uploaded 2025-12-18 Available
2900-0876 60 day FRN.pdf Supplementary Document Uploaded 2025-11-25 Available
2900-0876 60 day FRN.pdf Supplementary Document Uploaded 2025-11-25 Missing upstream
2900-0876 30 day FRN.pdf Supplementary Document Uploaded 2025-11-25 Available
2900-0876 30 day FRN.pdf Supplementary Document Uploaded 2025-11-25 Repair queued
2900-0876 60 Day FRN.pdf Supplementary Document Uploaded 2025-09-19 Available
2900-0876 60 Day FRN.pdf Supplementary Document Uploaded 2025-09-19 Repair queued
2900-0876 Non-Sub Change Request - EO 14168.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-21 Available
2900-0876 Non-Sub Change Request - EO 14168.docx Justification for No Material/Nonsubstantive Change Uploaded 2025-03-21 Missing upstream
30-day FRN 2900-0876.pdf Supplementary Document Uploaded 2022-12-30 Available
30-day FRN 2900-0876.pdf Supplementary Document Uploaded 2022-12-30 Repair queued
60 Day FRN.pdf Supplementary Document Uploaded 2022-12-21 Available
60 Day FRN.pdf Supplementary Document Uploaded 2022-12-21 Repair queued
A-11 30-day FRN_ 2900-0876 17Oct2022.docx Supplementary Document Uploaded 2022-10-17 Available
A-11 30-day FRN_ 2900-0876 17Oct2022.docx Supplementary Document Uploaded 2022-10-17 Repair queued
A-11 60-day FRN_ 2900-0876 17Oct2022.docx Supplementary Document Uploaded 2022-10-17 Available
A-11 60-day FRN_ 2900-0876 17Oct2022.docx Supplementary Document Uploaded 2022-10-17 Repair queued
2900-0876 SSA 2025-12-17.docx Supporting Statement A Uploaded 2025-12-17 Available
2900-0876 SSA.docx Supporting Statement A Uploaded 2025-11-26 Repair queued
A-11 Fast-Track Clearance Request Template 2025-12-17.docx Supplementary Document Uploaded 2025-12-18 Repair queued
A-11 Fast-Track Clearance Request Template.docx Supplementary Document Uploaded 2020-03-13 Repair queued
Supporting Statement B for Agencies_A 11 Section 280 Improving Customer Experience.docx Supporting Statement B Uploaded 2022-10-13 Available
Supporting Statement B for Agencies_A 11 Section 280 Improving Customer Experience.docx Supporting Statement B Uploaded 2022-10-13 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
279239 Orthotic, Prosthetic, Pedorthic Clinical Services (OPPCS) Survey Form and Instruction NewOPPCS WF
278843 Amputation System of Care Veteran Experience Survey Other-Survey Instrument New
278838 Veterans Service Officer (VSO) Feedback Survey Form and Instruction NewVSO Feedback Survey_OTED_Ad Hoc
278827 Supportive Services for Veteran Families (SSVF) Homelessness Survey Form and Instruction NewSSVF Homelessness Survey Questions_Updated 002
278739 VSO Liaison Survey Update Other-Survey Instrument New
278724 Outpatient-Healthcare Visit-Adding Whole Health Questions Other-Survey Instrument New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2029 36 Months From Approved 02/28/2026
5,940,778 0 4,012,000
504,232 0 344,083
0 0 0





Reginfo record details
6
table that charts list of burden
IC Title Form No. Form Name
Amputation System of Care Veteran Experience Survey
Orthotic, Prosthetic, Pedorthic Clinical Services (OPPCS) Survey OPPCS WF
Outpatient-Healthcare Visit-Adding Whole Health Questions
Supportive Services for Veteran Families (SSVF) Homelessness Survey SSVF Homelessness Survey Questions_Updated 002
VSO Liaison Survey Update
Veterans Service Officer (VSO) Feedback Survey VSO Feedback Survey_OTED_Ad Hoc

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,940,778 4,012,000 0 1,928,778 0 0
Annual Time Burden (Hours) 504,232 344,083 0 160,149 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No