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Information Collection Request

CONSUMER SAMPLING LETTER (QUESTIONNAIRE RE QUALITY OF SERVICE RENDERED

ICR 198012-2900-012 · OMB 2900-0127 · Historical Active

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IC IDCollectionTypeStatusForm
147195 CONSUMER SAMPLING LETTER (QUESTIONNAIRE RE QUALITY OF SERVICE RENDERED Form Migrated
ICR Details
2900-0127 198012-2900-012
Historical Active 198011-2900-087
VA
CONSUMER SAMPLING LETTER (QUESTIONNAIRE RE QUALITY OF SERVICE RENDERED
Revision of a currently approved collection   No
Regular
Approved without change 02/03/1981
Retrieve Notice of Action (NOA) 12/29/1980
APPROVED WITH THE CONDITION THAT THE LINE REQUESTING THE RESPONDENT'S SIGNATURE BE REMOVED DUE TO IT'S LIMITED UTILITY.
  Inventory as of this Action Requested Previously Approved
01/31/1984 01/31/1984 01/31/1981
18,000 0 9,000
3,000 0 1,500
0 0 0
RESPONSES OBTAINED FROM THIS LETTER PROVIDE AN INDICATION TO SUPERVISORS OF QUALITY OF SERVICE BEING PROVIDED AND WHETHER THERE IS A NEED FOR CLOSER SUPERVISION. 38 U.S.C. 210 AND 219B.
None
None
No
1
IC Title Form No. Form Name
CONSUMER SAMPLING LETTER (QUESTIONNAIRE RE QUALITY OF SERVICE RENDERED FL 270652
  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 18,000 9,000 0 9,000 0 0
Annual Time Burden (Hours) 3,000 1,500 0 1,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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.
12/29/1980