VEO Disability Compensation Survey / VE Outpatient Survey Questions Non-Sub Change Request

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⚠️ Notice: This information collection may be referencing outdated material.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
VEO Disability Compensation Survey Questions_v1.pdf To Be Determined Other-Web-based Survey
VE OutpatientSurveyRatingScaleMeasure08032017.pdf E-mail Survey Other-E-Survey
DisabilityCompensationSurvey_FTrack Request.docx VEO Disability Compensation Survey FT Request IC Document
DisComp Sample Size.docx DisComp Sample Size IC Document
WhitePaper_Non-Sub Change-VE Outpatient Survey Questions.docx WhitePaper_Non-Sub Change-VE Outpatient Survey Questions IC Document
2900-0770 Justification_VE OutPat Appointment Scheduling SurveyJUN2017.docx 2900-0770 Justification_VE OutPat Appointment Scheduling SurveyJUN2017 IC Document

Information Collection (IC) Details

IC Title:	VEO Disability Compensation Survey / VE Outpatient Survey Questions Non-Sub Change Request	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-E-Survey			VE OutpatientSurveyRatingScaleMeasure08032017.pdf	E-mail Survey	Yes	Yes	Fillable Fileable
Other-Web-based Survey			VEO Disability Compensation Survey Questions_v1.pdf	To Be Determined	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 32,300	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	32,300	32,300
Annual IC Time Burden (Hours)	538	538
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
VEO Disability Compensation Survey FT Request	DisabilityCompensationSurvey_FTrack Request.docx	11/03/2017
DisComp Sample Size	DisComp Sample Size.docx	11/03/2017
WhitePaper_Non-Sub Change-VE Outpatient Survey Questions	WhitePaper_Non-Sub Change-VE Outpatient Survey Questions.docx	11/03/2017
2900-0770 Justification_VE OutPat Appointment Scheduling SurveyJUN2017	2900-0770 Justification_VE OutPat Appointment Scheduling SurveyJUN2017.docx	11/03/2017

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