OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Administrations)

ICR 201404-2900-002 · OMB 2900-0769 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Generic Clearance Submission Template (2).doc Supplementary Document Uploaded 2011-06-01 Available
Qualitative Feedback Justification B.docx Supporting Statement B Uploaded 2011-02-24 Available
Administrations-Qualitative_Feedback_Justification.doc Supporting Statement A Uploaded 2014-06-26 Available
IC Document Collections
IC IDCollectionTypeStatusForm
228035 Primary Care Satisfaction Survey Other-Survey New
228034 VHA Pallative Care Telehealth Appointments / Mental Health Veterans Survey Other-Usability scale New
228031 VBA Veterans Success on Campus (VSOC) Survey Other-Survey New
228030 VA and DoD Digital services Brand Survey Other-Email Survey New
205043 Federal Contractor Certification Program Survey (revised) Other-Survey Unchanged
204936 Focus Groups for attitudes, opinions, perceptions and awareness about VA Other-Script Unchanged
204821 Federal Contractor Certification Program Survey Other-Survey Unchanged
203854 Department of Veterans Affairs Financial Services Center Customer Support Help Desk Survey Other-Survey Unchanged
202472 Project Reach Survey Other-Survey Unchanged
198094 Roundtable on Veterans' Business Issues Instruction Unchanged
ICR Details
2900-0769 201404-2900-002
Historical Active 201102-2900-009
VA
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Administrations)
Revision of a currently approved collection   No
Regular
Approved without change 08/21/2014
Retrieve Notice of Action (NOA) 06/26/2014
OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.
  Inventory as of this Action Requested Previously Approved
08/31/2017 36 Months From Approved 08/31/2014
100,000 0 100,000
50,000 0 50,000
0 0 0
The generic clearance will be used to collect qualitative feedback on VA's services or products delivery. VA will seek customer and stakeholder perceptions, experiences and expectations on its services or products delivery. The data collected will be used to improve delivery of products or services in areas where needed.
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Not associated with rulemaking
  79 FR 68 04/09/2014
79 FR 123 06/26/2014
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 100,000 100,000 0 0 0 0
Annual Time Burden (Hours) 50,000 50,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
New data collection.
$150,000
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.
06/26/2014