Memo

Department of Veterans Affairs Memorandum

Date: December 5, 2008

From: Cynthia Harvey-Pryor, VHA OMB Clearance Liaison (19E1)

Subj.: Request for OMB Approval; Federal Recovery Coordination Program (FRCP) Patient and Caregiver Satisfaction Surveys

To: VA OMB clearance Officer (0051RB))

The FRCP requests permission to conduct two satisfaction surveys; one administered to veterans enrolled in the program and one administered to their primary caregiver.

a. POINT OF CONTACT for the FRCP and these surveys is:

Karen Guice, MD, MPP

Executive Director, FRCP

202-461-4839

2. PURPOSE: To assess awareness of the FRC program; measure the overall satisfaction with and effectiveness of the program, the FRC and the recovery plan; identify the specific reasons for which a veteran or caregiver seeks assistance from the FRC; and identify the ways in which veterans’ and caregivers’ interact with the FRC. The survey results will be used to: 1) identify measures for evaluating customer service; 2) improve communications; 3) identify common problem areas; 4) identify areas were additional information from VA would assist veteran and caregiver decisions.

2. BURDEN:

Data Collection Activity	Number of Respondents	Response Frequency	Estimated Response Time	Estimated Annual Burden Hours
Veteran Survey	200	1	15 minutes (0.25 hours)	50 hours
Primary Caregiver Survey	200	1	15 minutes (0.25 hours)	50 hours
TOTAL				100 hours