Generic Veterans Health Administration Customer Satisfaction Surveys

ICR 200202-2900-015

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 200202-2900-015
Historical Active 200202-2900-004
VA
Generic Veterans Health Administration Customer Satisfaction Surveys
Reinstatement with change of a previously approved collection   No
Regular
Approved with change 04/17/2002
Retrieve Notice of Action (NOA) 02/12/2002
This collection is approved as a reinstatement with change. The expiration of this collection was due to an error in OMB process- ing and will not be counted as a violation under the PRA. This new format for the VHA customer satisfaction surveys is approved for 13 months. VA will track all surveys developed using this pool of questions during that time and will include them with the resubmission of this package. Upon resubmission, OMB will evaluate whether this new format is working within the intent of the PRA._Furthermore, any additional questions used in the customer satisfaction surveys will need to be approved by OMB
  Inventory as of this Action Requested Previously Approved
06/30/2003 06/30/2003
338,780 0 0
75,069 0 0
0 0 0

Information gathered will be used to develop customer service standards and measure specific performance to determine 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 338,780 0 0 338,780 0 0
Annual Time Burden (Hours) 75,069 0 0 75,069 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
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.
02/12/2002


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