Noa

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

10/25/2017

Department of Veterans Affairs

FOR CERTIFYING OFFICIAL:

Scott Blackburn

FOR CLEARANCE OFFICER:

Cynthia Harvey-Pryor

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
10/24/2017
ACTION REQUESTED: Generic IC
VISN 1 - Medical Center Solutions Call Centers Customer Satisfaction Survey
IC TITLE:
ICR REFERENCE NUMBER:

201710-2900-001

AGENCY ICR TRACKING NUMBER:

2900-0770

TITLE:

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA,
VBA, VHA)
LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

2900-0770

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 09/30/2020

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

335,000

214,167

0

New

335,000

300,000

0

Change due to New Statute

0

0

0

Change due to Agency Discretion

0

85,833

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference

TERMS OF CLEARANCE:

Terms of the Generic ICR remain in effect.

OMB Authorizing Official:

Dominic J. Mancini
Deputy and Acting Administrator,
Office Of Information And Regulatory Affairs

IC Title

Form No.

List of ICs
Form Name

CFR Citation

Veterans Experience
Agency Priority Goal
(APG) Trust Phone
Survey
Health Advocate Pilot
Project Patient
Satisfaction
Assessment
VISN 1 - Medical Center
Solutions Call Centers
Customer Satisfaction
Survey
VA Pittsburgh
Community Nursing
Home Satisfaction
Survey
SORCC - Veterans
Satisfaction Survey of
Spiritual Care Needs
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
250 / 0 / 1,500

13 / 0 / 150

287 / 0 / 4,300

10 / 0 / 120

7 / 0 / 200
567