Insurance Surveys

Insurance Surveys (Customer Satisfaction)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0771 can be found here:

Documents and Forms

Document Name Document Type
BO Survey.pdf Other-Customer Survey
SDVI Appllication Survey.pdf Other-Customer Survey
Death Claims Survey.pdf Other-Customer Survey
VMLI Survey.pdf Other-Customer Survey
Waiver Survey.pdf Other-Customer Survey
Telephone Survey ICD.pdf Other-Customer Survey
Telephone Survey PSD.pdf Other-Customer Survey
PolicyLoanSurvey.pdf Other-Customer Survey
CashSurr 292.pdf Other-Customer Survey
Correspondence 292.pdf Other-Customer Survey

Information Collection (IC) Details

IC Title:	Insurance Surveys	Agency IC Tracking Number:	2900-0771 VBA-INS-DB

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Customer Survey	BO Survey.pdf	No	Paper Only
Other-Customer Survey	SDVI Appllication Survey.pdf	No	Paper Only
Other-Customer Survey	Death Claims Survey.pdf	No	Paper Only
Other-Customer Survey	VMLI Survey.pdf	No	Paper Only
Other-Customer Survey	Waiver Survey.pdf	No	Paper Only
Other-Customer Survey	Telephone Survey ICD.pdf	No	Paper Only
Other-Customer Survey	Telephone Survey PSD.pdf	No	Paper Only
Other-Customer Survey	PolicyLoanSurvey.pdf	No	Paper Only
Other-Customer Survey	CashSurr 292.pdf	No	Paper Only
Other-Customer Survey	Correspondence 292.pdf	No	Paper Only

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,440	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	4,440	-1,059	5,499
Annual IC Time Burden (Hours)	444	-106	550
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.