Compensation
and Pension Examination Program (CPEP)
Veterans Satisfaction
Survey
OMB
FORM 2900-XXXX
VA Form 10-10-0480
Provide a numerical estimate of the potential respondent universe and describe any sampling or other respondent selection method to be used. Data on the number of entities (e.g., households or persons) in the universe and the corresponding sample are to be provided in tabular format for the universe as a whole and for each strata. Indicate expected response rates. If this has been conducted previously include actual response rates achieved.
Veteran patient population 24,000,000
Potential respondent universe: 600,000 patients/year
Sample Size 1055
Sampling methodology: A random sample is derived based on the scheduled CPEP examination.
Describe the procedures for the collection of information, including:
Statistical methodology for stratification and sample selection
Stratification is not required for this collection.
Estimation procedure
It is expected that the response rate will be 50%. This is based on previous data collections conducted by VHA.
Degree of accuracy needed
Unusual problems requiring specialized sampling procedures
At the present time, CPEP examination visits are not individually identified in a database where a random sample query could be used. Therefore the random sample will be based upon a rotating distribution of the survey materials at time of examination and administered at each clinic.
Any use of less frequent than annual data collection to reduce burden
This will be an annual collection.
3. Describe methods to maximize response rate and to deal with issues of non-response. The accuracy and reliability of information collected must be shown to be adequate for intended uses. For collections based on sampling, a special justification must be provided for any collection that will not yield “reliable” data that can be generalized to the universe studied.
Veterans will be given a copy of the survey with a Business Reply postage paid envelope. They will also be provided a link to an on-line version of the survey. Providing flexibility in the method of survey completion will provide the Veterans options that should increase the response rate. The assumed 50% response rate on 1055 surveys offered should yield results with approximately +/- 5% margin of error. Targeting the actual CPEP examination and not generalized healthcare outcomes yields increases validity of the data.
4. Describe any tests of procedures or methods to be undertaken. Testing is encouraged as an effective means of refining collections to minimize burden and improve utility. Tests must be approved if they call for answers to identical questions of 10 or more individuals.
This is a relatively simple survey with 7 questions. The number of questions was kept to a minimum to reduce burden and improve response rates. 3 of the questions are very similar to OMB approved questions with only minor changes in verbiage and scaling. The CPEP process is a new process in VA, often located in new clinics. The remaining four questions are targeted toward CPEP specific requirements. The results of this survey will be used improve the Veteran experience with the CPEP process and provide a baseline for CPEP expansions and to help prepare for growth in the Veteran use of the CPEP process.
The questions were selected and developed by the VHA CPEP Program Management Team. This team is responsible for deployment of the process throughout VHA.
5. Provide the name and telephone number of individuals consulted on statistical aspects of the design and the name of the agency unit, contractor(s), grantee(s), or other person(s) who will actually collect and/or analyze the information for the agency.
Dennis W. Boyette
Health Eligibility Center
VHA Chief Business Office
Atlanta, GA
404-828-5398
Page
File Type | application/msword |
File Title | Bold black = OMB questions |
Author | vhacobickoa |
Last Modified By | vhacoharvec |
File Modified | 2012-10-23 |
File Created | 2012-10-23 |