Form VA Form 0745 VA Form 0745 Board of Veterans' Appeals Hearing Survey Card

Envelope length: 5-1/2"

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NECESSARY
IF MAILED
IN THE
UNITED STATES

Department of
Veterans Affairs

Envelope width: 3-7/8"

Official Business

BUSINESS REPLY MAIL
FIRST CLASS

PERMIT NO. 12577

WASHINGTON, DC

POSTAGE WILL BE PAID BY ADDRESSEE

Director, Office of Management, Planning
and Analysis (014)
Board of Veterans' Appeals
810 Vermont Avenue, N.W.
Washington, D.C. 20420

Front of envelope

Envelope width: 3-7/8"

Envelope length: 5-1/2"

RESPONDENT BURDEN: VA may not conduct or sponsor, and respondent is not
required to respond to this collection of information unless it displays a valid OMB Control
Number. Public reporting burden for this collection of information is estimated to average
6 minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. This information is being collected to improve the BVA hearing
process and will be used toward that goal. Responses are anonymous and voluntary.
Please send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing this burden to the VA Clearance Officer
(005E3), 810 Vermont Avenue, NW, Washington, DC 20420. Please DO NOT send BVA
Appeals Hearing Survey to this address.

Thank you for taking the time to help us better serve you!
VA FORM 0745, FEB 2010

OMB No. 2900-0548 Respondent Burden: 6 minutes

Back of envelope

Detach and mail

1A. WHAT TYPE OF HEARING DID YOU HAVE?
VIDEO

IN PERSON AT LOCAL VA OFFICE

IN PERSON IN WASHINGTON, D.C.

1B. IF APPLICABLE, AT WHAT LOCAL VA OFFICE WAS THE TRAVEL BOARD HEARING HELD?

1C. IF APPLICABLE, AT WHAT LOCAL VA OFFICE WAS THE VIDEO HEARING HELD?

2. WERE YOU TIMELY NOTIFIED ABOUT THE DATE AND LOCATION OF YOUR SCHEDULED HEARING?
YES

NO

3. AT THE START OF THE HEARING, DID THE VETERANS LAW JUDGE GIVE YOU A CLEAR
ABOUT WHAT WOULD HAPPEN DURING THE HEARING?
YES

NO

SOMEWHAT CLEAR

EXPLANATION

NOT CLEAR

4. DID YOU FEEL THAT THE VETERANS LAW JUDGE WHO HELD THE HEARING WAS FAMILIAR WITH
YOUR CASE?
YES
VA FORM
FEB 2010

NO

0745 BOARD OF VETERANS' APPEALS HEARING SURVEY CARD

Detach and mail
5. WERE YOU GIVEN ENOUGH TIME DURING THE HEARING TO TELL THE VETERANS LAW JUDGE
WHAT YOU WANTED TO ABOUT YOUR CASE?
YES

NO

6. WERE YOU TREATED WITH COURTESY AND RESPECT BY THE VETERANS LAW JUDGE AND THE
HEARING SUPPORT STAFF?
YES

NO

7. WERE YOU SATISFIED WITH YOUR HEARING?
VERY SATISFIED

SATISFIED

NOT SATISFIED (Explain below)

8. THIS SPACE IS PROVIDED SO YOU CAN GIVE ADDITIONAL EXPLANATION WITH RESPECT TO
YOUR ANSWERS TO ANY OF THE QUESTIONS ASKED ABOVE, OR TO PROVIDE US WITH
SUGGESTIONS FOR IMPROVING THE HEARING PROCESS.

VA FORM 0745, FEB 2010, BACK