OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card

ICR 201111-2900-005 · OMB 2900-0548 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 0745 Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card Form Modified Repair queued
2900-0548 justification Part B.docx Supporting Statement B Uploaded 2012-01-18 Available
2900-0548 justification Part A.docx Supporting Statement A Uploaded 2012-01-19 Available
IC Document Collections
IC IDCollectionTypeStatusForm
28730 Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card Form Modified
ICR Details
2900-0548 201111-2900-005
Historical Active 200809-2900-015
VA 2900-0548
Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card
Extension without change of a currently approved collection   No
Regular
Approved without change 03/08/2012
Retrieve Notice of Action (NOA) 02/02/2012
Previous terms of clearance continue to apply: The collection of information applies only to a Hearing Survey Card and does not include customer satisfaction components. This collection is not approved as a generic clearance.
  Inventory as of this Action Requested Previously Approved
03/31/2015 36 Months From Approved 03/31/2012
650 0 1,102
65 0 110
0 0 0
The data collected is used to evaluate, and if necessary, revise the way Board hearings are conducted in order to improve customer satisfaction.
US Code: 38 USC 5701 Name of Law: Confidential nature of claims
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None
Not associated with rulemaking
  76 FR 220 11/15/2011
77 FR 16 01/25/2012
No
1
IC Title Form No. Form Name
Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card VA Form 0745 Board of Veterans' Appeals Hearing Survey Card
  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 650 1,102 0 0 -452 0
Annual Time Burden (Hours) 65 110 0 0 -45 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The change in burden is due to the reduction in the number of hearing survey responses received at the Board.
$25,168
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Denise McLamb 202-565-8374 [email protected]
  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.
02/02/2012