Veterans Health Benefits Handbook Satisfaction Survey

ICR 201403-2900-011

OMB: 2900-0773

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2014-08-08
Supplementary Document
2014-03-18
Supplementary Document
2014-03-18
Supplementary Document
2014-03-18
Supporting Statement B
2014-03-18
IC Document Collections
IC ID
Document
Title
Status
194426 Modified
ICR Details
2900-0773 201403-2900-011
Historical Active 201008-2900-006
VA
Veterans Health Benefits Handbook Satisfaction Survey
Revision of a currently approved collection   No
Regular
Approved without change 10/17/2014
Retrieve Notice of Action (NOA) 08/19/2014
  Inventory as of this Action Requested Previously Approved
10/31/2017 36 Months From Approved 10/31/2014
1,622 0 1,622
135 0 135
0 0 0

The Veterans' Health Benefits Handbook will contain general eligibility and benefits information and most importantly, information specific to the recipient. VHA hopes to provide Veterans an opportunity to give anonymous feedback on the content and presentation of this material. VHA will use the information gathered to determine how well the Handbook meets Veterans' needs and make changes to the Handbook where needed.

EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None

Not associated with rulemaking

  79 FR 19417 04/08/2014
79 FR 36583 06/27/2014
No

1
IC Title Form No. Form Name
Veterans Health Benefits Handbook Satisfaction Survey 10-0507 Veterans' Health Benefits Handbook Veterans Satisfaction Survey

  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 1,622 1,622 0 0 0 0
Annual Time Burden (Hours) 135 135 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,400
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.
08/19/2014


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