Approved consistent with changes to the questionnaire submitted by VA memo and included in the electronic docket. In the next submission of OMB number 2900-0609, VA shall combine this collection and 2900-0609 into a single submission. Additionally, OMB continues to encourage VA to work with their contractor to enhance the coding of case level outcomes to better understand reasons for nonresponse and conduct research that may include tracing veterans with inadequate contact information, increasing the number of call attempts, and testing strategies for identifying and handling veterans in institutions, etc, under 2900-0609. Should VA develop plans for related substudies, the Department should consult with and seek clearance from OMB through administrative change requests (83-Cs).
Inventory as of this Action
Requested
Previously Approved
01/31/2010
36 Months From Approved
44,000
0
0
3,168
0
0
0
0
0
These frequently changing modules will be added to the more stable core questions to provide information for planning & policy development for actuarial projections of enrollment, utilization, expenditures, mandated annual enrollment reforms, & quantitative & qualitative research.
These modules (with a new approval number) will be added to the questions currently approved under 2900-0609. Although questions of this nature have been asked in the past, they are now considered a program increase of 3,168 burden hours
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.
Form VA Form 10-21034k Health Insurance and Key Driver Modules - Survey of Veteran Enrollees' Health and Reliance Upon VA
10-21034k module 2 from p2 v4.xls
2900-New 10-21034j-k justification Part B.doc
Health Insurance and Key Driver Modules - Survey of Veteran Enrollees' Health and Reliance Upon VA