OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Compensation and Pension Examination Program (CPEP) Veterans Satisfaction Survey

ICR 201211-2900-005 · OMB 2900-0774 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form VA Form 10-0480 Compensation and Pension Examination Program (CPEP) Veterans Satisfaction Survey Form Modified Available
CPEP survey justification B.doc Supporting Statement B Uploaded 2012-11-06 Available
CPEP_Justification_A.doc Supporting Statement A Uploaded 2012-11-06 Available
IC Document Collections
IC IDCollectionTypeStatusForm
191626 Compensation and Pension Examination Program (CPEP) Veterans Satisfaction Survey Form Modified
ICR Details
2900-0774 201211-2900-005
Historical Active 201008-2900-008
VA 2900-0774
Compensation and Pension Examination Program (CPEP) Veterans Satisfaction Survey
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/09/2013
Retrieve Notice of Action (NOA) 03/05/2013
OMB does not approve this collection. This action is taken to provide VA with an active control number that may be discontinued. VA will discontinue this control number within 1 month of issuance. VA will then submit this collection as a Gen IC under VHA's Fast Track Generic clearance.
  Inventory as of this Action Requested Previously Approved
04/30/2014 36 Months From Approved
1,614 0 0
153 0 0
0 0 0
The goal of CPEP is to gather and report information about Veterans' Compensation and Pension exam experiences at individual exam sites. Feedback will be provided to these sites in order to improve experiences for Veterans. This information will be used to measure performance in specific areas of the CPEP and possibly lead to policy changes.
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
None
Not associated with rulemaking
  77 FR 223 11/19/2012
78 FR 21 01/31/2013
No
  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 1,614 0 0 0 0 1,614
Annual Time Burden (Hours) 153 0 0 0 0 153
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$3,500
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Crystal Rennie 202 632-7492 [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.
03/05/2013