Insurance Surveys (Customer Satisfaction)

ICR 201912-2900-001

OMB: 2900-0771

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2021-02-17
Supporting Statement A
2020-06-17
Supplementary Document
2018-02-09
Supplementary Document
2018-02-05
Supporting Statement B
2017-08-30
IC Document Collections
IC ID
Document
Title
Status
191786 Modified
ICR Details
2900-0771 201912-2900-001
Received in OIRA 201708-2900-039
VA VBA-INS-NK
Insurance Surveys (Customer Satisfaction)
No material or nonsubstantive change to a currently approved collection   No
Regular 02/24/2021
  Requested Previously Approved
06/30/2021 06/30/2021
4,440 4,440
444 444
0 0

The surveys will be used for the purposes of determining the level of satisfaction with existing service among our customers.

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

Not associated with rulemaking

  82 FR 19994 09/20/2017
83 FR 2569 02/09/2018
No

1
IC Title Form No. Form Name
Insurance Surveys

  Total Request 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 4,440 4,440 0 0 0 0
Annual Time Burden (Hours) 444 444 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$18,462
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Maribel Aponte 202 266-4688 maribel.aponte@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.
02/24/2021


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