View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
2900-0770
ICR Reference No:
202007-2900-004
Status:
Historical Active
Previous ICR Reference No:
201710-2900-001
Agency/Subagency:
VA
Agency Tracking No:
2900-0770
Title:
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
11/20/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/29/2020
Terms of Clearance:
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. ORIA does not authorize VA to proceed with a Generic IC after a fixed number of days.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2023
36 Months From Approved
11/30/2020
Responses
368,500
0
335,000
Time Burden (Hours)
235,584
0
300,000
Cost Burden (Dollars)
0
0
0
Abstract:
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.
Authorizing Statute(s):
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standard
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
85 FR 44581
07/23/2020
30-day Notice:
Federal Register Citation:
Citation Date:
85 FR 60881
09/28/2020
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
60
IC Title
Form No.
Form Name
Accessibility of Mammography Services - Veteran and Community Facility Surveys
Building Better Caregivers (BBC) Alumni Community - Satisfaction Survey
Building Better Caregivers (BBC) Training Workshop - Satisfaction Survey
CT-GC Self-Testing Program Survey
Close to Me Program - Patient Satisfaction Survey (CBOC)
Collaborative Exploration of Viable Extended Reality (CEVER) Customer Satisfaction Survey
Community Living Center (CLC) Survey (VISN 1-Bedford)
Community Residential Care (CRC) Program Veteran Survey
DEI Veterans Focus Group Assessments (VA Puget Sound)
Dialysis Patient Satisfaction Survey - Lebanon VAMC
Endoscopy Unit Patient Satisfaction Survey (VACT HCS)
Erie VAMC Lactation Consultant Services Survey
Financial Education and Literacy 4 Veterans Survey
Healthy Teaching Kitchen (HTK) Virtual Class Evaluation
Intensive Community Mental Health Recovery Services (ICMHRS) Veteran Satisfaction Surveys
Intimate Partner Violence (IPV) Post-Group Satisfaction Survey
James A Haley Veterans Hospital (JAHVH) - Quality Improvement & Clinical Research Studies Registry Survey
Life Insurance Call Center Satisfaction Questionnaire
Survey
VBA 2022 Life Insurance Call Center Satisfaction Questionnaire
Loan Guaranty Service (LGY) Technology Customer Satisfaction Survey
MOVE! Weight Management Program for Veterans - Mid-Program & Post-Program Satisfaction Surveys
Medical Foster Home (MFH) Program Veteran & Caregiver Surveys
Military2VA Post-9/11 Case Management Program Satisfaction Surveys
NCHS Breast Cancer Wellness Recovery - Peer Support Need Questionnaire
National Acquisition Center (NAC) Commodities and Services Acquisition Service (CSAS) Voice of the Customer (VOC) Survey
N/A
NAC CSAS Voice of the Customer (VOC) Survey_OMB 2900-0770
National Caregiver Training Program - Participant Satisfaction Survey
Network of Support Pilot Survey PL 116-214
Peer Support Outreach Center (PSOC) - Client Satisfaction Questionnaire (CSQ) & Peer Specialist Services Assessment
Physical Medicine & Rehabilitation (PM&R) Services - Patient Satisfaction Survey (VACT HCS)
Positive Airway Pressure (PAP) Supply Program Satisfaction Survey
Post Career Fair Employer Survey
2900-0770
Post Career Fair Employer Survey
Post Career Fair Participant Survey
2900-0770
Post Career Fair Participant Survey
Primary Care Mental Health Integration (PCMHI) Services - Virtual Care Survey
Primary Family Caregiver Financial and Legal Services Survey
Resident Physician Clinic Visit - Patient Satisfaction Survey
STEMText Survey
SURVEY OF THE HANDLING OF UNCLAIMED VETERAN REMAINS
2900-0770
Survey of the Handling of Unclaimed Veteran Remains
Same Day Service (SDS) Patient Satisfaction Surveys
Survey of Suicide Prevention Care Standards Among VCC Providers
Survey of Veterans Utilizing Peer Specialist Services
Telerehabilitation Enterprise Wide Initiative (TREWI) Patient Satisfaction Survey
VA Trainee Satisfaction Survey (VA-TSS)
VBA Customer Satisfaction Survey
VBA OSE Comms Materials Survey
VCL "Dial 988 then Press 1" Media Campaign Effectiveness Evaluation (Survey)
VCL "Dial 988 then Press 1" Media Campaign Effectiveness Evaluation - Focus Groups
VCP Community Organization Needs Assessment Survey
VET TEC Experience Survey
VHA OCC FOIA & Privacy Office - Customer Satisfaction Survey
VRRAP Experience Survey and VRRAP Enrollment vs Eligible Survey
Vet Center RCS Awareness Survey
Veteran Class/Service Satisfaction Survey (VSSS) - VISN 10
Veteran Cultural Care Needs Satisfaction Survey
Veteran Dental Care Utilization Survey
Veteran Hybrid Tele-Neuropsychological Evaluation - Satisfaction Survey
Veterans Health Education Class Satisfaction Survey - OVAHCS
Veterans Transportation Service (VTS) - Customer Satisfaction Survey (VISN 10)
Vocational Rehabilitation Services (VRS) Employment Program Satisfaction Surveys
Whole Health Well-Being Program - Veteran Satisfaction Survey
Women Veterans Network (WoVeN) - Peer Group Satisfaction Survey
Young Minority Women Veterans VA Care Satisfaction Surveys
ICR Summary of Burden
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
368,500
335,000
0
33,500
0
0
Annual Time Burden (Hours)
235,584
300,000
0
-64,416
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
VA PRA reviewed previous estimated respondent and burden numbers -- and has adjusted these to reflect projected annual respondents and burden hours under 2900-0770 for the next three years. NOTE: The NOA dated 09/29/2017 shows that OMB approved 214,167 burden hours -- this was the burden hour number published in the 60- and 30-day FRNs in 2017. However, on 10/3/2017, OMB approved an increase in the burden hours to 300,000 -- as a non-substantive change to an approved collection. At this time, VA estimates the number of burden hours for the next three years to be 235,584.
Annual Cost to Federal Government:
$385,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Danny Green 202 421-1354 danny.green2@va.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
09/29/2020