VA OIG Viewer Interest Project

Clearance for A-11 Section 280 Improving Customer Experience Information Collection

Documents and Forms

Document Name Document Type
OIG Viewer Interest Wireframe.docx Other-Survey Instrument
OIG Viewer Interest Wireframe.docx Other-Survey Instrument
ICR Template_A11 Section 280 Clearance 8 16 23 (OIG).docx ICR Template Coversheet OIG IC Document
ICR Template_A11 Section 280 Clearance 8 16 23 (OIG).docx ICR Template Coversheet OIG IC Document

Information Collection (IC) Details

IC Title:	VA OIG Viewer Interest Project	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Instrument			OIG Viewer Interest Wireframe.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Veterans, Dependents of Veterans, and Veteran Benficiaries	FR Citation: 86 FR 6992

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ICR Template Coversheet OIG	ICR Template_A11 Section 280 Clearance 8 16 23 (OIG).docx	01/02/2025

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