Verification Cost of Compliance

DEPARTMENT OF VETERANS AFFAIRS OMB Number: 2900-0770
Respondent Burden: 6 minutes

Expiration Date: 8/31/2017

The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. The public reporting burden for this collection of information is estimated to average 6 minutes per response, including the time for reviewing instructions, and completing and reviewing the collection of information. No person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Verification Cost Survey

The Department of Veterans Affairs (VA), Center for Verification and Evaluation (CVE) is assessing its Verification Program and would appreciate your feedback based on your experience. Personally identifiable information is not required. Your responses will be incorporated with the answers provided by other respondents.

Did you consult with a CVE Certified Verification Assistance Counselor, as depicted on our website, to prepare your company for verification?

Yes No Unsure

Many businesses pursuing CVE Verification incur costs as they prepare for CVE Verification and complete their application. For each of the cost areas below that apply to your company, please indicate:

• The total expense incurred

• Whether the expense was required by the CVE Verification program, or recommended by a Verification Assistance Counselor.

• Whether the majority of the expense was incurred before submitting your application or during the application process.

• What percentage of the expense was solely attributed to CVE Verification

You will have the opportunity to identify other cost areas on the next page. If an expense area does not apply you may leave the row blank.

		Expense Amount	Reason for Expense	Expense Timing	Cost Solely from CVE
Employee Labor
Attorneys
Accountants
Consultants
Corporate Restructuring
Other Direct Costs (Printing, Travel, etc.)

* Besides the cost areas above, were there other costs your business incurred associated with CVE Verification?

No other cost areas.

Yes, we had additional costs areas. Please list additional costs below.

		Expense Amount	Reason for Expense	Moment of Expense	Cost Solely from CVE
Additional Area #1 ___________________
Additional Area #2 ___________________
Additional Area #3 ___________________

How much time was needed to complete your business’ verification application?

_____________________________

Would you recommend that other small businesses apply for CVE Verification?

Very Probable
Somewhat Probable
Neither Probable nor Improbable
Somewhat Improbable
Not Probable

How would you evaluate your experience with CVE while applying for the verification program?

Excellent
Very Good
Good
Fair
Poor

What type of firm do you own?

Corporation
Limited Liability Company (LLC)
Limited Liability Partnership (LLP)
Sole Proprietorship
General Partnership
Other (please specify)

* Please provide any feedback or suggestions on how to improve the CVE Verification Process.

Now think about your experiences with all the services provided by the Department of Veterans Affairs (which include healthcare, benefits programs, or memorial services).  Please tell us how you feel about the following statements:

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly agree
I got the service I needed.
It was easy to get the service I needed.
I felt like a valued customer.
I trust VA to fulfill our country’s commitment to Veterans.

Thanks for your time and valuable feedback!