Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card

Forms and Documents

Document Name	Status
Form VA Form 0745 Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card Form	Modified
2900-0548 justification Part B.docx Supporting Statement B	2012-01-18
2900-0548 justification Part A.docx Supporting Statement A	2012-01-19

IC Document Collections

IC ID	Document Title	Status
28730	Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card Form	Modified

ICR Details

OMB Control No: 2900-0548	ICR Reference No: 201111-2900-005
Status: Historical Active	Previous ICR Reference No: 200809-2900-015
Agency/Subagency: VA	Agency Tracking No: 2900-0548
Title: Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/08/2012
	Date Received in OIRA: 02/02/2012
Terms of Clearance: Previous terms of clearance continue to apply: The collection of information applies only to a Hearing Survey Card and does not include customer satisfaction components. This collection is not approved as a generic clearance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2015	36 Months From Approved	03/31/2012
Responses	650	0	1,102
Time Burden (Hours)	65	0	110
Cost Burden (Dollars)	0	0	0

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Abstract: The data collected is used to evaluate, and if necessary, revise the way Board hearings are conducted in order to improve customer satisfaction.

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Authorizing Statute(s): US Code: 38 USC 5701 Name of Law: Confidential nature of claims
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 220	11/15/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 16	01/25/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Board of Veterans' Appeals Customer Satisfaction with Hearing Survey Card	VA Form 0745	Board of Veterans' Appeals Hearing Survey Card

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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	650	1,102	0	0	-452	0
Annual Time Burden (Hours)	65	110	0	0	-45	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: No

Burden Reduction Due to:

Short Statement: The change in burden is due to the reduction in the number of hearing survey responses received at the Board.

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Annual Cost to Federal Government: $25,168

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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Common Form ICR:  No

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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: 02/02/2012

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