Insurance Surveys

ICR 201008-2900-005

OMB: 2900-0771

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement B
2010-08-19
Supporting Statement A
2010-08-19
IC Document Collections
IC ID
Document
Title
Status
191786 Modified
ICR Details
2900-0771 201008-2900-005
Historical Inactive 201001-2900-007
VA
Insurance Surveys
New collection (Request for a new OMB Control Number)   No
Regular
Withdrawn 01/03/2011
Retrieve Notice of Action (NOA) 08/23/2010
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0

The surveys will be used for the purposes of determining the level of satisfaction with existing service among our customers.

EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None

Not associated with rulemaking

  75 FR 27 02/10/2010
75 FR 74 04/19/2010
No

1
IC Title Form No. Form Name
Insurance Surveys

Yes
Miscellaneous Actions
No
New data collection.

$0
No
No
No
No
No
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.
08/23/2010


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