Veterans Experience Agency Priority Goal (APG) Trust Phone Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0770 can be found here:

Documents and Forms

Document Name Document Type
APG Survey Coverage and Nonresponse Bias Follow Up Survey_v6 (3).docx Phone Survey Other-Phone Survey
APG Phone Survey Fast Track Request_083117.docx APG Phone Survey Fast-Track Request IC Document
The Coverage and Nonresponse Bias Follow Up for Veteran Experience Trust....docx Coverage and Nonresponse Bias Follow Up Study IC Document

Information Collection (IC) Details

IC Title:	Veterans Experience Agency Priority Goal (APG) Trust Phone Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Phone Survey			APG Survey Coverage and Nonresponse Bias Follow Up Survey_v6 (3).docx	Phone Survey	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
APG Phone Survey Fast-Track Request	APG Phone Survey Fast Track Request_083117.docx	10/05/2017
Coverage and Nonresponse Bias Follow Up Study	The Coverage and Nonresponse Bias Follow Up for Veteran Experience Trust....docx	10/05/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.