VHA Customer Value Online Survey / Customer Value Focus Group

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0770 can be found here:

Documents and Forms

Document Name Document Type
VHA Customer Value Online Survey.pdf URL To Be Determined Other-Online Survey
Voice of Custmr Focus Grp Recruit_Screener Guide .docx Instruction
VHA Value Focus Group Moderator Guide .docx Instruction
Generic submission VHA Customer Value Online Survey.docx Generic Request: VHA Online Customer Value Survey IC Document
Generic Request_VHA Customer Value Focus Groups.docx Generic Request_VHA Customer Value Focus Groups IC Document

Information Collection (IC) Details

IC Title:	VHA Customer Value Online Survey / Customer Value Focus Group	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1230.8(d)

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online Survey	VHA Customer Value Online Survey.pdf	URL To Be Determined	Yes	Yes	Fillable Fileable
Instruction	Voice of Custmr Focus Grp Recruit_Screener Guide .docx		No		Paper Only
Instruction	VHA Value Focus Group Moderator Guide .docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 860	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	860	860
Annual IC Time Burden (Hours)	423	423
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Request: VHA Online Customer Value Survey	Generic submission VHA Customer Value Online Survey.docx	02/25/2013
Generic Request_VHA Customer Value Focus Groups	Generic Request_VHA Customer Value Focus Groups.docx	02/26/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.