OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Generic Clearance for Veterans Health Administration Customer Satisfaction Surveys

ICR 199708-2900-007 · OMB 2900-0570 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
28766 Generic Clearance for Veterans Health Administration Customer Satisfaction Surveys Migrated
ICR Details
2900-0570 199708-2900-007
Historical Active 199702-2900-004
VA
Generic Clearance for Veterans Health Administration Customer Satisfaction Surveys
Extension without change of a currently approved collection   No
Regular
Approved without change 12/02/1997
Retrieve Notice of Action (NOA) 08/15/1997
  Inventory as of this Action Requested Previously Approved
12/31/2000 12/31/2000 12/31/1997
58,800 0 9,400
21,200 0 22,350
0 0 0
The information gathered will be used to determine where and to what extent services are satisfactory and where and to what extent they are in need of improvement.
None
None
No
1
IC Title Form No. Form Name
Generic Clearance for Veterans Health Administration Customer Satisfaction Surveys
  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 58,800 9,400 0 0 49,400 0
Annual Time Burden (Hours) 21,200 22,350 0 0 -1,150 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
08/15/1997