Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date 10/15/2011
Department of Veterans Affairs
FOR CERTIFYING OFFICIAL: Roger Baker
FOR CLEARANCE OFFICER: Denise McLamb
In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
10/07/2011
ACTION REQUESTED: Generic IC
TYPE OF REVIEW REQUESTED:
ICR REFERENCE NUMBER: 201107-2900-001
AGENCY ICR TRACKING NUMBER: 2900-0770
TITLE: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA,
VHA)
LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER: 2900-0770
The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE:

DISCONTINUE DATE:

BURDEN:

RESPONSES

HOURS

COSTS

Previous

200,000

100,000

0

New

200,000

100,000

0

Change due to New Statute

0

0

0

Change due to Agency Discretion

0

0

0

Change due to Agency Adjustment

0

0

0

Change Due to Potential Violation of the PRA

0

0

0

Difference

TERMS OF CLEARANCE: Terms of the Generic ICR remain in effect.
OMB Authorizing Official:

Kevin F. Neyland
Deputy Administrator,
Office Of Information And Regulatory Affairs

List of ICs
IC Title

Form No.

Form Name

CFR Citation

VA Form 10-0517
Veterans
5 CFR 1320.8(d)
Veterans
Transportation
Transportation
Service (VTS)
Service (VTS)
Questionnaire
Veterans
Satisfaction
Questionnaire
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
1,281 / 0 / 13,482

1,281