OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Cooperative Studies Program (CSP): Site Survey and Meeting Evaluation

ICR 201505-2900-005 · OMB 2900-0772 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form 10-0511 Cooperative Studies Program (CSP) Site Survey and Meeting Evaluationi Form Removed Available
Form 10-10074a VA Cooperative Studies Program (CSP) Meeting Evaluation Form and Instruction Unchanged Available
Form 10-10074 VA Cooperative Studies Program (CSP) Customer Satisfaction Survey Form and Instruction Unchanged Available
Change request VA Form 10-10074.docx Supplementary Document Uploaded 2015-08-05 Available
2900-0772 White Paper.docx Justification for No Material/Nonsubstantive Change Uploaded 2015-05-13 Available
CSP_Survey Justification A_20150722.docx Supporting Statement A Uploaded 2015-07-22 Available
IC Document Collections
IC IDCollectionTypeStatusForm
211083 Cooperative Studies Program (CSP) Site Survey and Meeting Evaluationi Form Removed
211037 VA Cooperative Studies Program (CSP) Meeting Evaluation Form and Instruction Unchanged
211036 VA Cooperative Studies Program (CSP) Customer Satisfaction Survey Form and Instruction Unchanged
ICR Details
2900-0772 201505-2900-005
Historical Active 201403-2900-014
VA
Cooperative Studies Program (CSP): Site Survey and Meeting Evaluation
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/17/2015
Retrieve Notice of Action (NOA) 05/19/2015
  Inventory as of this Action Requested Previously Approved
10/31/2017 10/31/2017 10/31/2017
1,000 0 1,500
166 0 166
0 0 0
The information collected will be used by VA Cooperative Studies Program (CSP) leadership to evaluate their Coordinating Centers' effectiveness in conducting meetings and interacting with participating study sites and other customers.
US Code: 38 USC Part 1, Chapter 5, Section 527 Name of Law: Evaluation and Data Collection
  
None
Not associated with rulemaking
  79 FR 3269 01/17/2014
79 FR 21517 04/16/2014
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 1,000 1,500 0 0 -500 0
Annual Time Burden (Hours) 166 166 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$3,600
No
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.
05/19/2015