Service Level Measurement—PREVENTS Survey

ICR 202007-2900-001

OMB: 2900-0880

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supporting Statement B
2020-07-02
Supporting Statement A
2020-07-02
Supplementary Document
2020-06-25
IC Document Collections
IC ID
Document
Title
Status
242424 Unchanged
ICR Details
2900-0880 202007-2900-001
Active 202006-2900-008
VA 2020-2900-0876-P
Service Level Measurement—PREVENTS Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/07/2020
Retrieve Notice of Action (NOA) 07/07/2020
  Inventory as of this Action Requested Previously Approved
07/31/2023 36 Months From Approved
57,200 0 0
4,767 0 0
0 0 0

This survey provides customer experience insights related to the experience of Veterans in accessing services and resources made possible via Executive Order 13861, known as the President’s Roadmap to Empower Veterans and End a National Tragedy of Suicide (PREVENTS). Feedback on this survey from Veterans Service Organizations, Veterans, and community organizations will help ensure that the PREVENTS Office has the information it needs to implement the Roadmap and communicate its efforts to empower Veterans and prevent suicide. Survey respondents will include Veterans Service Organization Members, Veterans, and individuals affiliated with nonprofit and community organizations. This survey is a non-probability-based survey and is not intended to make inferences about any overall population. This survey will be administered to Veterans who are affiliated with Veteran Service Organizations, individuals affiliated with Veteran-focused community-based or nonprofit organizations, or individuals who are affiliated with Veteran Service Organizations (VSOs). The survey will be publicized via an article that contains a survey link in a Blog in the Vet Resources Newsletter produced by the Department of Veterans Affairs, email communications with Veterans Service Organizations, and e-mail, in-person, and video-message communications to community-based organizations and strategic partners. Collected data are uploaded to the VSignals survey analysis tool and raw data are made present for analysis. Survey questions focus on current and potential mental health resources, communication channels, and outreach strategies that are currently being provided, or could be provided, to Veterans to ensure their safety and security.

EO: EO 13861 Name/Subject of EO: Executive Order on a National Roadmap to Empower Veterans and End Suicide
  
EO: EO 13861 Name/Subject of EO: President’s Roadmap to Empower Veterans and End a National Tragedy of Suicide

Not associated with rulemaking

  85 FR 31614 03/13/2020
85 FR 14727 05/26/2020
Yes

1
IC Title Form No. Form Name
Service-Level Measurement- PREVENTS Survey 2020-2900-0876-P2 Service-Level Measurement- PREVENTS Survey

  Total Approved 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 57,200 0 0 57,200 0 0
Annual Time Burden (Hours) 4,767 0 0 4,767 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Additional questions added at the request of the PREVENTS Task Force.

$7,650
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Evan Albert 202 461-6729 evan.albert@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.
07/07/2020


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