Generic Veterans Health Administration Customer Satisfaction Surveys

ICR 200009-2900-006

OMB: 2900-0570

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
2900-0570 200009-2900-006
Historical Active 199708-2900-007
VA
Generic Veterans Health Administration Customer Satisfaction Surveys
Extension without change of a currently approved collection   No
Regular
Approved without change 12/21/2000
Retrieve Notice of Action (NOA) 09/26/2000
Approved consistent with clarifications in VA memos of 11-15-00 and 12-18-00. Approval is for one year at which time the VHA computerized toolkit will be available for OMB review. In the mean time, VHA shall ensure that individual customer satisfaction surveys are routed through the Office of Quality and Performance prior to submission to OMB.
  Inventory as of this Action Requested Previously Approved
01/31/2002 01/31/2002 12/31/2000
22,500 0 58,800
22,500 0 21,200
0 0 0

The information gathered will be used to determine where and to what extent services are satisfactory, and where and to what extent they need improvement.

None
None


No

1
IC Title Form No. Form Name
Generic Veterans Health Administration Customer Satisfaction Surveys

  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 22,500 58,800 0 -36,300 0 0
Annual Time Burden (Hours) 22,500 21,200 0 1,300 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/26/2000


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