OMB control number

Insurance Surveys (Customer Satisfaction)

OMB 2900-0771 · VA.

OMB 2900-0771

The surveys will be used for the purposes of determining the level of satisfaction with existing service among our customers.

The latest form for Insurance Surveys (Customer Satisfaction) expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
White Paper B&O Surveys (1).docx Justification for No Material/Nonsubstantive Change
SupportState(2900-0771).docx Supporting Statement A
2018-02569.pdf Supplementary Document
2017-19994.pdf Supplementary Document
Insurance Survey Justification B.doc Supporting Statement B
Insurance Surveys Other-Customer Survey

All Historical Document Collections

201912-2900-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-02-24
201708-2900-039 Approved without change	Reinstatement with change of a previously approved collection	2018-03-19
201307-2900-006 Approved without change	Revision of a currently approved collection	2014-06-19
201101-2900-006 Approved without change	Existing collection in use without an OMB Control Number	2011-01-24
201008-2900-005 Withdrawn	New collection (Request for a new OMB Control Number)	2010-08-23
201001-2900-007 Withdrawn	New collection (Request for a new OMB Control Number)	2010-04-21