Insurance Surveys (Satisfaction)

ICR 201307-2900-006

OMB: 2900-0771

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2014-06-16
Supporting Statement A
2014-02-12
Supplementary Document
2014-02-04
Supporting Statement B
2011-01-07
IC Document Collections
IC ID
Document
Title
Status
191786 Modified
ICR Details
2900-0771 201307-2900-006
Historical Active 201101-2900-006
VA 2900-0771 VBA-INS-DB
Insurance Surveys (Satisfaction)
Revision of a currently approved collection   No
Regular
Approved without change 08/21/2014
Retrieve Notice of Action (NOA) 06/19/2014
  Inventory as of this Action Requested Previously Approved
08/31/2017 36 Months From Approved 08/31/2014
5,499 0 480
550 0 48
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

  78 FR 230 11/29/2013
79 FR 108 06/05/2014
No

1
IC Title Form No. Form Name
Insurance 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 5,499 480 0 5,019 0 0
Annual Time Burden (Hours) 550 48 0 502 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The respondent burden increase is due to a miscalculation of respondents.

$0
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 crystal.rennie@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.
06/19/2014


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