Patient Satisfaction Survey Greeting

ICR 200807-2900-006

OMB: 2900-0570

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2008-07-15
IC Document Collections
ICR Details
2900-0570 200807-2900-006
Historical Active 200712-2900-028
VA 2900-0570
Patient Satisfaction Survey Greeting
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 07/30/2008
Retrieve Notice of Action (NOA) 07/15/2008
  Inventory as of this Action Requested Previously Approved
03/31/2011 03/31/2011 03/31/2011
885,797 0 885,797
125,347 0 125,347
0 0 0

Provides procedures for expedited approval of centrally and locally administered customer satisfaction surveys. Information gathered will measure efficacy of process improvements designed around areas of poor performance highlighted in the nationally conducted VHA Customer Satisfaction Surveys.

EO: EO 12862 Name/Subject of EO: SETTING CUSTOMER SERVICE STANDARDS
   US Code: 38 USC 527 Name of Law: Evaluation and data collection
  
None

Not associated with rulemaking

  72 FR 196 10/11/2007
73 FR 5 01/08/2008
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 885,797 885,797 0 0 0 0
Annual Time Burden (Hours) 125,347 125,347 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The figures on this report are actual adjusted Fiscal Year 2007 usage figures. The burden hour decrease is primarily due to a reduced number of ad hoc surveys being approved and conducted. Although we do not project any significant program changes or adjustments in future years, we will continue providing actual usage figures on each future ICB

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Denise McLamb 202-565-8374 denise.mclamb@mail.va.gov

  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.
07/15/2008


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