Proposed Information Collection (Voice of Veteran Surveys, Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (National Cemetery Administration, Veterans Benefits Affairs, Veterans Health Administration), Survey of Veteran Enrollees' Health and Reliance Upon VA, Bereaved Family Member Satisfaction Survey, Nation-Wide Customer Satisfaction Surveys (Survey of Healthcare Experiences of Patients), Veterans Health Benefits Handbook Satisfaction Survey, Veterans Transportation Service Data Collection, Center for Verification and Evaluation Site Inspections, Post Engagement, Awards & Return on Investment, Center for Verification and Evaluation Verification Survey) Activity: Comment Request, 995-997 [2016-75]
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Federal Register / Vol. 81, No. 5 / Friday, January 8, 2016 / Notices
8. What are the most useful formats
for receiving information from USDOT,
and why (e.g. webinars, in-person
meetings, conference calls, etc.)?
9. What efforts in your city to improve
bicycle and pedestrian safety in your
community were already underway at
the time of the Mayors’ Challenge? How
has the Mayors’ Challenge added value
and/or helped to fill any gaps in your
city’s efforts to improve bicycle and
pedestrian safety?
10. In planning and project delivery of
pedestrian and/or bicycle infrastructure
projects, to what extent has your city
coordinated with your Metropolitan
Planning Organization (MPO), Regional
Planning Organization (RPO), State
Department of Transportation (DOT),
and Federal Regional/Division office
partners? Please note type of outreach
and coordination, and outcomes it led
to.
11. What have been the key benefits
and lessons learned as a result of the
Mayors’ Challenge?
12. Do you think the Mayors’
challenge has helped make any
permanent changes in pedestrian and
bike safety and accommodation in your
city/town?
[FR Doc. 2016–159 Filed 1–7–16; 8:45 am]
BILLING CODE 4910–9X–P
DEPARTMENT OF VETERANS
AFFAIRS
asabaliauskas on DSK5VPTVN1PROD with NOTICES
[OMB Control Nos., 2900–0782,, 2900–0770,
2900–0609, 2900–0701, 2900–0712, 2900–
0773, 2900–0838, 2900–0834, 2900–0836,
2900–0837, 2900–0835]
Proposed Information Collection
(Voice of Veteran Surveys, Generic
Clearance for the Collection of
Qualitative Feedback on Agency
Service Delivery (National Cemetery
Administration, Veterans Benefits
Affairs, Veterans Health
Administration), Survey of Veteran
Enrollees’ Health and Reliance Upon
VA, Bereaved Family Member
Satisfaction Survey, Nation-Wide
Customer Satisfaction Surveys
(Survey of Healthcare Experiences of
Patients), Veterans Health Benefits
Handbook Satisfaction Survey,
Veterans Transportation Service Data
Collection, Center for Verification and
Evaluation Site Inspections, Post
Engagement, Awards & Return on
Investment, Center for Verification and
Evaluation Verification Survey)
Activity: Comment Request
Veteran’s Experience Office,
Department of Veterans Affairs.
ACTION: Notice.
AGENCY:
VerDate Sep<11>2014
20:40 Jan 07, 2016
Jkt 238001
The Veteran’s Experience
Office, Department of Veterans Affairs
(VA), is announcing an opportunity for
public comment on the proposed
collection of certain information by the
agency. Under the Paperwork Reduction
Act (PRA) of 1995, Federal agencies are
required to publish notice in the
Federal Register concerning each
proposed collection of information,
including each proposed nonsubstantive change request of a
currently approved collection, and
allow 60 days for public comment in
response to the notice. This notice
solicits comments on 11 Information
collections for the Veteran’s Experience
Agency Priority Goal, which specifies
that four survey questions will be
incorporated into existing customer
experience surveys by Q1 FY2016. The
information collected will be used by
VA departmental leadership to track
enterprise performance improvements
as experienced by our Veterans. This
notice will serve as notification for any
future Non-substantive Change
Information Collection Request adding
these four customer service questions in
the Information Collection Requests.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before March 8, 2016.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Thomas Pasakarnis, Veteran’s
Experience Office (008VE), Department
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420 or
email to Thomas.pasakarnis@va.gov.
Please refer to ‘‘OMB Control No. 2900–
VE’’ in any correspondence. During the
comment period, comments may be
viewed online through the FDMS.
FOR FURTHER INFORMATION CONTACT:
Thomas Pasakarnis at (202) 461–5869 or
FAX (202) 495–5401.
SUPPLEMENTARY INFORMATION: Under the
PRA of 1995 (Pub. L. 104–13; 44 U.S.C.
3501–21), Federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
This request for comment is being made
pursuant to section 3506(c)(2)(A) of the
PRA.
With respect to the following
collection of information, Veteran’s
Experience invites comments on: (1)
Whether the proposed collection of
information is necessary for the proper
performance of VBA’s functions,
including whether the information will
have practical utility; (2) the accuracy of
VA’s estimate of the burden of the
SUMMARY:
PO 00000
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995
proposed collection of information; (3)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (4) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or the use of other forms of information
technology.
Type of Review: Non-Substantive
Change of currently approved
collections.
Abstract: For FY16–17, VA set
Veterans Experience as an agency
priority goal to improve Veterans
Experience with VA. Because this is a
new measure, VA developed one brand
and three experience measures to
support the Veterans Experience Agency
Priority Goal (APG). VA will add four
APG questions to each survey identified
below. One question deals with VA
brand, and three questions deal with
Veterans experience.
‘‘I got the service I needed.’’
‘‘It was easy to get what I needed.’’
‘‘I felt like a valued customer.’’
‘‘I trust VA to fulfill our country’s
commitment to veterans.’’
Strongly agree
Agree
Neither Agree nor Disagree
Disagree
Strongly disagree
Adding these questions is necessary
to establish an enterprise measure of
VA’s performance as experienced by our
Veterans, as is needed to support VA’s
Veterans Experience FY16–17 APG.
VA’s goal is to incorporate these four
survey questions into VA’s existing
customer experience by Q1 FY2016. The
information collected will be used by
VA departmental leadership to track
enterprise performance improvements
as experienced by our Veterans.
VA expects that it will take
approximately one minute for each
survey respondent to answer these new
questions. As set forth below, this
change is expected to affect
approximately 132 instruments
approved under eleven different OMB
control numbers. Together, these
instruments are nearly 1.5 million times
per year. The cumulative annual burden
of this change is more than 24,000 hours
((1 minute per submission * 1,462,937
submissions)/60 minutes per hour =
24,382.28 hours). There is also some
annual cost burden associated with this
request. Specifically, some of these
instruments are administered by thirdparty contractors, who will need to
revise the instruments.
VA has provided a table detailing the
full burden information for each
information collection located at https://
www.oprm.va.gov/ers/ers_reports.aspx.
E:\FR\FM\08JAN1.SGM
08JAN1
996
Federal Register / Vol. 81, No. 5 / Friday, January 8, 2016 / Notices
Please note, additional instruments
approved under these or additional
control numbers may be included in the
Veteran’s Experience initiative in the
future. Therefore, this online table
detailing burden information will be
updated periodically.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Titles of Affected Collections and
Instruments
(1) 2900–0782—Voice of Veteran
Surveys
(1) Compensation Access
(2) Compensation Servicing
(3) Pension Access
(4) Pension Servicing
(5) Education Access
(6) Education Servicing
(7) VR&E Access
(8) VR&E Servicing
(9) VR&E Non-Participant
(10) Loan Guarantee Home Loan
Process
(11) Specialty Adapted Housing Grant
Process, mail
(2) 2900–0770—Generic Clearance for
the Collection of Qualitative
Feedback on Agency Service
Delivery (National Cemetery
Administration, Veterans Benefits
Affairs, Veterans Health
Administration)
(1) CFM Supplier Satisfaction Survey,
form 10–10163
(2) VLER Program Survey, Undecided
Vet Interview, form 10–0457
(3) Veterans Choice Program Survey,
form 10–0450
(4) Nationwide Dialysis Contracts
Program Veterans Survey, form 10–
0455
(5) VA Courtesy Standards—The
Golden Rule Approach Veteran
Feedback Form, 10–0497
(6) Phone Apps Focus Group
Demographic Questionnaire,
form10–0496a
(7) PTSD Coach App Survey, form 10–
0496
(8) Understanding PTSD for Family
Caregivers: Feedback Survey, form
10–0495
(9) Building Better Caregivers
Satisfaction Survey, form 10–0499
(10) Building Better Caregiver Phone
Survey, form 10–0499
(11) Clinical Video Telehealth (CVT)
Patient Satisfaction Survey, form
10–0481a
(12) Compensation and Pension
Examination Program (CPEP)
Veterans Satisfaction Survey, form
10–0480
(13) Michael E. DeBakey Patient
Satisfaction Survey, form 10–0476
(14) Food and Nutrition Satisfaction
Survey, form 10–0498
(15) Veterans Transportation Service
(VTS) Satisfaction Questionnaire,
VerDate Sep<11>2014
20:40 Jan 07, 2016
Jkt 238001
form 10–0517
(16) Patient Satisfaction
Questionnaire: Laboratory P&LMS
VA New England Healthcare
System, form 10–0516
(17) Project ARCH (Access Received
Closer to Home) Patient Satisfaction
Survey, form 10–0522
(18) PVAMC Low Vision Patient
Satisfaction Survey, form 10–0527
(19) Vendor Application for Fair, form
10–0528
(20) Notice Your Nurse: Notice Your
NurseThank you card, form 10–
0519
(21) The Continuity of Medication
Management Patient Survey, form
10–0526
(22) Caribbean Healthcare System
Pathology and Laboratory Medicine,
form 10–0526
(23) Tele-Retinal Patient Satisfaction
Survey, form 10–0540
(24) Purchased Care Patient
Satisfaction Survey, form 10–0538
(25) Spinal Cord Home Care Survey,
form 10–0542
(26) Childcare Services Satisfaction
Survey, form 10–0531
(27) Neurology/Rehabilitation
Inpatient Program Satisfaction
Survey, form 10–0546
(28) Non-VA Care Coordination
Veteran Satisfaction Survey, form
10–0545
(29) Survey of Veterans’ Satisfaction
with Income Verification, form 10–
0541
(30) Spinal Cord Injury Patient
Survey, form 10–0515
(31) National Family Caregiver
Participant Training Feedback Form
10–0520
(32) Psychiatric Patient Satisfaction
Survey, form 10–0550
(33) Cardiac Cath Lab Customer
Satisfaction Survey, form 10–0547
(34) Community Living Center (CLC)
Satisfaction Survey, form 10–0548
(35) Survey of Veterans Perceptions of
an Enhanced VA Outpatient
Prescription Label, form 10–0549
(36) Dental Service Customer
Satisfaction Survey, form 10–0553
(37) Dental Satisfaction Survey
(Spanish version), form 10–0553s
(38) Office of Mental Health Veteran
Satisfaction Survey, form 10–0554
(39) Patient Experience of Care
Survey, form 10–0552
(40) VCS Patriot Store and VCS Patriot
Cafe Customer Satisfaction Survey,
form 10–0551
(41) Epilepsy Centers of Excellence
(ECoE) Patient Survey, form10–
0558
(42) Fraud, Waste and Abuse
Complaint Form, 10–0500
(43) Sodium Dichromate Exposure
PO 00000
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Exam Feedback Survey, form 10–
0559
(44) Patient Satisfaction SurveyRadiation Oncology WEB survey,
form 10–10063
(45) Hem-Oncology Telehealth
Satisfaction WEB Survey, form 10–
10054
(46) Vet Appointment Mobile App
Survey, form 10–10057
(47) Telephone Care Services Patient
Satisfaction Survey, form 10–10058
(48) VISN 20 Telephone Customer
Service Experience Satisfaction
Survey, form 10–10059
(49) Prosthetics Customer Service
Survey, form 10–10125
(50) Customer Patient Satisfaction
Monthly Survey, form 10–10126
(51) HME Vendor Performance Survey
2014, form 10–10122
(52) SOU–SORCC Patient Survey,
form 10–10145
(53) Audiology Hearing Aid
Questionnaire, form 10–10128
(54) Advanced Education Veteran
Survey -SORCC-Patient, form 10–
10128
(55) VoV OSI Primary Care Survey—
Conjoint Analysis, form 10–10147
(56) Women’s Health Research
Network, form 10–10142
(57) Telehealth Master Preceptor,
form 10–10127
(58) Mental Health Survey, form 10–
10129
(59) Extended Hours Program
Evaluation—Non-Users Survey,
form 10–10129
(60) VISN 1 Extended Hours
Evaluation—Users, form 10–10132
(61) Maternity Care Coordination
Experiences of Pregnant Veterans
Survey, form 10–10131
(62) State Veterans Home Admin
Survey, form 10–10136
(63) Tobacco and Smoking Cessation
Survey, form 10–10136
(64) Voice of the Veteran (VOV)
Satisfaction Survey Office of
Strategic Integration (OSI) Conjoint
Analysis, form 10–10144
(65) VISN 1 NCL Patient Satisfaction
Questionnaire, form 10–10133
(66) Interview and Discussion Group
Protocols for the Institute of
Medicine: 09–IOM VA MH Services
Eval Non-VA Service Users
Discussion Protocol, form 10–10130
(67) Battlecreek Urgent Care Survey,
form 10–10135
(68) MEC Notification Survey, form
10–10155
(69) Caregiver Feedback form. SelfCare Course, form 10–10119
(70) VISN20 Cancer Care Survey—
Veteran Satisfaction, form 10–10164
(71) Customer Satisfaction Survey on
VA Research Communication, VA
E:\FR\FM\08JAN1.SGM
08JAN1
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Federal Register / Vol. 81, No. 5 / Friday, January 8, 2016 / Notices
Research Currents, form 10–10167
(72) Patient Satisfaction Survey
Boston VAMC Ophthalmology,
form 10–211001NR
(73) Anticoagulation (warfarin/
Coumadin) Patient Satisfaction
Survey, form 10–211002
(74) Patient Survey: Waiting Room
Television Video Patient Education,
form 10–211005
(75) MSCoE Patient Survey, form 10–
211003
(76) PROJECT ARCH (Access
Received Closer to Home) NonParticipating Veterans Survey, form
10–211004
(77) Outpatient Pharmacy Customer
Satisfaction Survey, form 10–
211006NR
(78) National Patient Centered
Community Care Veterans Survey
Question, form 10–211009
(79) OKC Dental (Ambulatory) Patient
Satisfaction Survey, form 10–
211008
(80) HEC Enrollment Survey, form
10–211013
(81) Non-VA-Purchased Care Veteran
Survey, form 10–211013
(82) Survey of Rehabilitation Care,
form 10–211010
(83) Tele-Dermatology Imaging Patient
Satisfaction Survey, form 10–
211016
(84) Home Based Primary Care
Survey, Lawton CBOC, form 10–
211014
(85) Dental Insurance Program
Survey, form 10–211011
(86) Survey of Patient Satisfaction at
Surgical Service, form 10–211015
(87) Survey of Patient Satisfaction at
Surgical Service -Spanish, form 10–
211015SP
(88) Oklahoma City VAMC Home
Based Primary Care (HBPC) Survey,
form 10–211014a
(89) Telephone Survey on User
Experience with VLER Health
Exchange’
(90) Provider Interview Guide, form
2900–0770
(91) Veteran (Patient) InterviewGuide, form 2900–0770
(92)
(93) Online Survey—VHA Customer
Value Survey, form 2900–0770
(94) State Veterans Home Patient
Satisfaction, form 2900–0770
(95) VISN 1 Call Center Telephone
Survey Script (Veteran Women),
form 2900–0770
(96) Gulf War Newsletter Survey—
Office of Public Health, form 2900–
0770
(97) My HealtheVet (MHV) Web site
Redesign Veteran and Family
Caregiver Demographic Survey,
form 2900–0770
VerDate Sep<11>2014
20:40 Jan 07, 2016
Jkt 238001
(98) 2014 Post911CommunicationSurveyQuestionnaire, form 2900–0770
(99) Claims Clinic Satisfaction Survey
(VBA), form 2900–0770
(100) Feedback US Survey
(101) Feedback USA Survey Button—
KIOSK, form 2900–0770
(102) Feedback USA Survey Button—
Internet Web site, form 2900–0770
(103) Business Requirements Sessions
(104) Awards and ROI–2013NVSB
(Small Business), form 2900–0770
(105) Awards and ROI–2013NVSB
(Large Business), form 2900–0770
(106) 2014 National Veterans Small
Business Engagement (NVSBE)
Events Satisfaction, form 2900–
0770
(107) Business Sessions Satisfaction
Survey, form?
(108) CVE Booth Satisfaction, form
2900–0770
(109) Exhibitor Satisfaction 2900–
0770
(110) Learning Sessions 2900–0770
(111) NRT Satisfaction 2900–0770
(112) Senior Leaders Roundtables,
2900–0770
(113) 2014 NVSBE Post-Engagement
Attendees Survey, 2900–0770
(114) OSDBU Post-Event Evaluation,
2900–0770
(115) NAC Customer Response
Survey—WEB
(3) 2900–0609—Survey of Veteran
Enrollees’ Health and Reliance
Upon VA
(1) (CATI) Survey of Veteran
Enrollees’ Health and Reliance
Upon VA, form 10–21034G
(4) 2900–0701—Bereaved Family
Member Satisfaction Survey
(1) Bereaved Family Member
Satisfaction Survey Administered
by Facility Staff, form 10–21081
(5) 2900–0712—Nation-wide Customer
Satisfaction Surveys (Survey of
Healthcare Experiences of Patients)
(1) Recently Discharged Patient, form
10–1465–1
(2) Recently Discharged Inpatient,
form 10–1465–2
(3) Ambulatory Care, form 10–1465–3
(4) Ambulatory Care, form 10–1465–4
(5) Ambulatory Care, form 10–1465–5
(6) Ambulatory Care, form 10–1465–6
(7) Home Health Care Survey, form
10–1465–7
(8) In-Center Hemodialysis Care, form
10–1465–8
(6) 2900–0773—Veterans Health
Benefits Handbook Satisfaction
Survey
(1) Veterans Health Benefits
Handbook Satisfaction Survey, form
10–0507
(7) 2900–0838—Veterans Transportation
Service Data Collection
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997
(1) Veterans Transportation Service
Data Collection Telephonic Script
(8) 2900–0834—Center for Verification
and Evaluation Site Inspections
(1) CVE Site Inspection Survey,
Historical
(2) CVE Site Inspection Survey,
Regular
(9) 2900–0836—Post Engagement
(1) 2015 National Veterans Small
Business Engagement Post
Engagement Survey
(10) 2900–0837—Awards & Return on
Investment
(1) Awards and Return on Investment
after 2015 National Veterans Small
Business Engagement (Small
Business)
(2) Awards and Return on Investment
after 2015 National Veterans Small
Business Engagement (Large
Business)
(11) 2900–0835—Center for Verification
and Evaluation Verification Survey
(1) CVE Pre-Application Survey
(2) CVE Exit Survey
(3) CVE Post-Determination Letter
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Office of
Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2016–75 Filed 1–7–16; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
Reimbursement for Caskets and Urns
for Burial of Unclaimed Remains in a
National Cemetery
Department of Veterans Affairs.
Notice.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) is updating the monetary
reimbursement rates for caskets and
urns purchased for the interment in a
VA national cemetery of Veterans who
die with no known next of kin and
where there are insufficient resources
for furnishing a burial container. The
purpose of this notice is to notify
interested parties of the rates that will
apply to reimbursement claims that
occur during calendar year (CY) 2016.
FOR FURTHER INFORMATION CONTACT:
Tamula Jones, Budget Operations and
Field Support Division, National
Cemetery Administration, Department
of Veterans Affairs, 810 Vermont
Avenue NW., Washington, DC 20420.
Telephone: 202–461–6688 (this is not a
toll-free number).
SUPPLEMENTARY INFORMATION: Title 38,
United States Code, Section 2306(f)
authorizes VA National Cemetery
SUMMARY:
E:\FR\FM\08JAN1.SGM
08JAN1
]]>Agencies
[Federal Register Volume 81, Number 5 (Friday, January 8, 2016)]
[Notices]
[Pages 995-997]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-75]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
[OMB Control Nos., 2900-0782,, 2900-0770, 2900-0609, 2900-0701, 2900-
0712, 2900-0773, 2900-0838, 2900-0834, 2900-0836, 2900-0837, 2900-0835]
Proposed Information Collection (Voice of Veteran Surveys,
Generic Clearance for the Collection of Qualitative Feedback on Agency
Service Delivery (National Cemetery Administration, Veterans Benefits
Affairs, Veterans Health Administration), Survey of Veteran Enrollees'
Health and Reliance Upon VA, Bereaved Family Member Satisfaction
Survey, Nation-Wide Customer Satisfaction Surveys (Survey of Healthcare
Experiences of Patients), Veterans Health Benefits Handbook
Satisfaction Survey, Veterans Transportation Service Data Collection,
Center for Verification and Evaluation Site Inspections, Post
Engagement, Awards & Return on Investment, Center for Verification and
Evaluation Verification Survey) Activity: Comment Request
AGENCY: Veteran's Experience Office, Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Veteran's Experience Office, Department of Veterans
Affairs (VA), is announcing an opportunity for public comment on the
proposed collection of certain information by the agency. Under the
Paperwork Reduction Act (PRA) of 1995, Federal agencies are required to
publish notice in the Federal Register concerning each proposed
collection of information, including each proposed non-substantive
change request of a currently approved collection, and allow 60 days
for public comment in response to the notice. This notice solicits
comments on 11 Information collections for the Veteran's Experience
Agency Priority Goal, which specifies that four survey questions will
be incorporated into existing customer experience surveys by Q1 FY2016.
The information collected will be used by VA departmental leadership to
track enterprise performance improvements as experienced by our
Veterans. This notice will serve as notification for any future Non-
substantive Change Information Collection Request adding these four
customer service questions in the Information Collection Requests.
DATES: Written comments and recommendations on the proposed collection
of information should be received on or before March 8, 2016.
ADDRESSES: Submit written comments on the collection of information
through Federal Docket Management System (FDMS) at www.Regulations.gov
or to Thomas Pasakarnis, Veteran's Experience Office (008VE),
Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC
20420 or email to Thomas.pasakarnis@va.gov. Please refer to ``OMB
Control No. 2900-VE'' in any correspondence. During the comment period,
comments may be viewed online through the FDMS.
FOR FURTHER INFORMATION CONTACT: Thomas Pasakarnis at (202) 461-5869 or
FAX (202) 495-5401.
SUPPLEMENTARY INFORMATION: Under the PRA of 1995 (Pub. L. 104-13; 44
U.S.C. 3501-21), Federal agencies must obtain approval from the Office
of Management and Budget (OMB) for each collection of information they
conduct or sponsor. This request for comment is being made pursuant to
section 3506(c)(2)(A) of the PRA.
With respect to the following collection of information, Veteran's
Experience invites comments on: (1) Whether the proposed collection of
information is necessary for the proper performance of VBA's functions,
including whether the information will have practical utility; (2) the
accuracy of VA's estimate of the burden of the proposed collection of
information; (3) ways to enhance the quality, utility, and clarity of
the information to be collected; and (4) ways to minimize the burden of
the collection of information on respondents, including through the use
of automated collection techniques or the use of other forms of
information technology.
Type of Review: Non-Substantive Change of currently approved
collections.
Abstract: For FY16-17, VA set Veterans Experience as an agency
priority goal to improve Veterans Experience with VA. Because this is a
new measure, VA developed one brand and three experience measures to
support the Veterans Experience Agency Priority Goal (APG). VA will add
four APG questions to each survey identified below. One question deals
with VA brand, and three questions deal with Veterans experience.
``I got the service I needed.''
``It was easy to get what I needed.''
``I felt like a valued customer.''
``I trust VA to fulfill our country's commitment to veterans.''
Strongly agree
Agree
Neither Agree nor Disagree
Disagree
Strongly disagree
Adding these questions is necessary to establish an enterprise
measure of VA's performance as experienced by our Veterans, as is
needed to support VA's Veterans Experience FY16-17 APG. VA's goal is to
incorporate these four survey questions into VA's existing customer
experience by Q1 FY2016. The information collected will be used by VA
departmental leadership to track enterprise performance improvements as
experienced by our Veterans.
VA expects that it will take approximately one minute for each
survey respondent to answer these new questions. As set forth below,
this change is expected to affect approximately 132 instruments
approved under eleven different OMB control numbers. Together, these
instruments are nearly 1.5 million times per year. The cumulative
annual burden of this change is more than 24,000 hours ((1 minute per
submission * 1,462,937 submissions)/60 minutes per hour = 24,382.28
hours). There is also some annual cost burden associated with this
request. Specifically, some of these instruments are administered by
third-party contractors, who will need to revise the instruments.
VA has provided a table detailing the full burden information for
each information collection located at https://www.oprm.va.gov/ers/ers_reports.aspx.
[[Page 996]]
Please note, additional instruments approved under these or additional
control numbers may be included in the Veteran's Experience initiative
in the future. Therefore, this online table detailing burden
information will be updated periodically.
Titles of Affected Collections and Instruments
(1) 2900-0782--Voice of Veteran Surveys
(1) Compensation Access
(2) Compensation Servicing
(3) Pension Access
(4) Pension Servicing
(5) Education Access
(6) Education Servicing
(7) VR&E Access
(8) VR&E Servicing
(9) VR&E Non-Participant
(10) Loan Guarantee Home Loan Process
(11) Specialty Adapted Housing Grant Process, mail
(2) 2900-0770--Generic Clearance for the Collection of Qualitative
Feedback on Agency Service Delivery (National Cemetery Administration,
Veterans Benefits Affairs, Veterans Health Administration)
(1) CFM Supplier Satisfaction Survey, form 10-10163
(2) VLER Program Survey, Undecided Vet Interview, form 10-0457
(3) Veterans Choice Program Survey, form 10-0450
(4) Nationwide Dialysis Contracts Program Veterans Survey, form 10-
0455
(5) VA Courtesy Standards--The Golden Rule Approach Veteran
Feedback Form, 10-0497
(6) Phone Apps Focus Group Demographic Questionnaire, form10-0496a
(7) PTSD Coach App Survey, form 10-0496
(8) Understanding PTSD for Family Caregivers: Feedback Survey, form
10-0495
(9) Building Better Caregivers Satisfaction Survey, form 10-0499
(10) Building Better Caregiver Phone Survey, form 10-0499
(11) Clinical Video Telehealth (CVT) Patient Satisfaction Survey,
form 10-0481a
(12) Compensation and Pension Examination Program (CPEP) Veterans
Satisfaction Survey, form 10-0480
(13) Michael E. DeBakey Patient Satisfaction Survey, form 10-0476
(14) Food and Nutrition Satisfaction Survey, form 10-0498
(15) Veterans Transportation Service (VTS) Satisfaction
Questionnaire, form 10-0517
(16) Patient Satisfaction Questionnaire: Laboratory P&LMS VA New
England Healthcare System, form 10-0516
(17) Project ARCH (Access Received Closer to Home) Patient
Satisfaction Survey, form 10-0522
(18) PVAMC Low Vision Patient Satisfaction Survey, form 10-0527
(19) Vendor Application for Fair, form 10-0528
(20) Notice Your Nurse: Notice Your NurseThank you card, form 10-
0519
(21) The Continuity of Medication Management Patient Survey, form
10-0526
(22) Caribbean Healthcare System Pathology and Laboratory Medicine,
form 10-0526
(23) Tele-Retinal Patient Satisfaction Survey, form 10-0540
(24) Purchased Care Patient Satisfaction Survey, form 10-0538
(25) Spinal Cord Home Care Survey, form 10-0542
(26) Childcare Services Satisfaction Survey, form 10-0531
(27) Neurology/Rehabilitation Inpatient Program Satisfaction
Survey, form 10-0546
(28) Non-VA Care Coordination Veteran Satisfaction Survey, form 10-
0545
(29) Survey of Veterans' Satisfaction with Income Verification,
form 10-0541
(30) Spinal Cord Injury Patient Survey, form 10-0515
(31) National Family Caregiver Participant Training Feedback Form
10-0520
(32) Psychiatric Patient Satisfaction Survey, form 10-0550
(33) Cardiac Cath Lab Customer Satisfaction Survey, form 10-0547
(34) Community Living Center (CLC) Satisfaction Survey, form 10-
0548
(35) Survey of Veterans Perceptions of an Enhanced VA Outpatient
Prescription Label, form 10-0549
(36) Dental Service Customer Satisfaction Survey, form 10-0553
(37) Dental Satisfaction Survey (Spanish version), form 10-0553s
(38) Office of Mental Health Veteran Satisfaction Survey, form 10-
0554
(39) Patient Experience of Care Survey, form 10-0552
(40) VCS Patriot Store and VCS Patriot Cafe Customer Satisfaction
Survey, form 10-0551
(41) Epilepsy Centers of Excellence (ECoE) Patient Survey, form10-
0558
(42) Fraud, Waste and Abuse Complaint Form, 10-0500
(43) Sodium Dichromate Exposure Exam Feedback Survey, form 10-0559
(44) Patient Satisfaction Survey- Radiation Oncology WEB survey,
form 10-10063
(45) Hem-Oncology Telehealth Satisfaction WEB Survey, form 10-10054
(46) Vet Appointment Mobile App Survey, form 10-10057
(47) Telephone Care Services Patient Satisfaction Survey, form 10-
10058
(48) VISN 20 Telephone Customer Service Experience Satisfaction
Survey, form 10-10059
(49) Prosthetics Customer Service Survey, form 10-10125
(50) Customer Patient Satisfaction Monthly Survey, form 10-10126
(51) HME Vendor Performance Survey 2014, form 10-10122
(52) SOU-SORCC Patient Survey, form 10-10145
(53) Audiology Hearing Aid Questionnaire, form 10-10128
(54) Advanced Education Veteran Survey -SORCC-Patient, form 10-
10128
(55) VoV OSI Primary Care Survey--Conjoint Analysis, form 10-10147
(56) Women's Health Research Network, form 10-10142
(57) Telehealth Master Preceptor, form 10-10127
(58) Mental Health Survey, form 10-10129
(59) Extended Hours Program Evaluation--Non-Users Survey, form 10-
10129
(60) VISN 1 Extended Hours Evaluation--Users, form 10-10132
(61) Maternity Care Coordination Experiences of Pregnant Veterans
Survey, form 10-10131
(62) State Veterans Home Admin Survey, form 10-10136
(63) Tobacco and Smoking Cessation Survey, form 10-10136
(64) Voice of the Veteran (VOV) Satisfaction Survey Office of
Strategic Integration (OSI) Conjoint Analysis, form 10-10144
(65) VISN 1 NCL Patient Satisfaction Questionnaire, form 10-10133
(66) Interview and Discussion Group Protocols for the Institute of
Medicine: 09-IOM VA MH Services Eval Non-VA Service Users Discussion
Protocol, form 10-10130
(67) Battlecreek Urgent Care Survey, form 10-10135
(68) MEC Notification Survey, form 10-10155
(69) Caregiver Feedback form. Self-Care Course, form 10-10119
(70) VISN20 Cancer Care Survey--Veteran Satisfaction, form 10-10164
(71) Customer Satisfaction Survey on VA Research Communication, VA
[[Page 997]]
Research Currents, form 10-10167
(72) Patient Satisfaction Survey Boston VAMC Ophthalmology, form
10-211001NR
(73) Anticoagulation (warfarin/Coumadin) Patient Satisfaction
Survey, form 10-211002
(74) Patient Survey: Waiting Room Television Video Patient
Education, form 10-211005
(75) MSCoE Patient Survey, form 10-211003
(76) PROJECT ARCH (Access Received Closer to Home) Non-
Participating Veterans Survey, form 10-211004
(77) Outpatient Pharmacy Customer Satisfaction Survey, form 10-
211006NR
(78) National Patient Centered Community Care Veterans Survey
Question, form 10-211009
(79) OKC Dental (Ambulatory) Patient Satisfaction Survey, form 10-
211008
(80) HEC Enrollment Survey, form 10-211013
(81) Non-VA-Purchased Care Veteran Survey, form 10-211013
(82) Survey of Rehabilitation Care, form 10-211010
(83) Tele-Dermatology Imaging Patient Satisfaction Survey, form 10-
211016
(84) Home Based Primary Care Survey, Lawton CBOC, form 10-211014
(85) Dental Insurance Program Survey, form 10-211011
(86) Survey of Patient Satisfaction at Surgical Service, form 10-
211015
(87) Survey of Patient Satisfaction at Surgical Service -Spanish,
form 10-211015SP
(88) Oklahoma City VAMC Home Based Primary Care (HBPC) Survey, form
10-211014a
(89) Telephone Survey on User Experience with VLER Health Exchange'
(90) Provider Interview Guide, form 2900-0770
(91) Veteran (Patient) Interview-Guide, form 2900-0770
(92)
(93) Online Survey--VHA Customer Value Survey, form 2900-0770
(94) State Veterans Home Patient Satisfaction, form 2900-0770
(95) VISN 1 Call Center Telephone Survey Script (Veteran Women),
form 2900-0770
(96) Gulf War Newsletter Survey--Office of Public Health, form
2900-0770
(97) My HealtheVet (MHV) Web site Redesign Veteran and Family
Caregiver Demographic Survey, form 2900-0770
(98) 2014 Post-911CommunicationSurvey-Questionnaire, form 2900-0770
(99) Claims Clinic Satisfaction Survey (VBA), form 2900-0770
(100) Feedback US Survey
(101) Feedback USA Survey Button--KIOSK, form 2900-0770
(102) Feedback USA Survey Button--Internet Web site, form 2900-0770
(103) Business Requirements Sessions
(104) Awards and ROI-2013NVSB (Small Business), form 2900-0770
(105) Awards and ROI-2013NVSB (Large Business), form 2900-0770
(106) 2014 National Veterans Small Business Engagement (NVSBE)
Events Satisfaction, form 2900-0770
(107) Business Sessions Satisfaction Survey, form?
(108) CVE Booth Satisfaction, form 2900-0770
(109) Exhibitor Satisfaction 2900-0770
(110) Learning Sessions 2900-0770
(111) NRT Satisfaction 2900-0770
(112) Senior Leaders Roundtables, 2900-0770
(113) 2014 NVSBE Post-Engagement Attendees Survey, 2900-0770
(114) OSDBU Post-Event Evaluation, 2900-0770
(115) NAC Customer Response Survey--WEB
(3) 2900-0609--Survey of Veteran Enrollees' Health and Reliance Upon VA
(1) (CATI) Survey of Veteran Enrollees' Health and Reliance Upon
VA, form 10-21034G
(4) 2900-0701--Bereaved Family Member Satisfaction Survey
(1) Bereaved Family Member Satisfaction Survey Administered by
Facility Staff, form 10-21081
(5) 2900-0712--Nation-wide Customer Satisfaction Surveys (Survey of
Healthcare Experiences of Patients)
(1) Recently Discharged Patient, form 10-1465-1
(2) Recently Discharged Inpatient, form 10-1465-2
(3) Ambulatory Care, form 10-1465-3
(4) Ambulatory Care, form 10-1465-4
(5) Ambulatory Care, form 10-1465-5
(6) Ambulatory Care, form 10-1465-6
(7) Home Health Care Survey, form 10-1465-7
(8) In-Center Hemodialysis Care, form 10-1465-8
(6) 2900-0773--Veterans Health Benefits Handbook Satisfaction Survey
(1) Veterans Health Benefits Handbook Satisfaction Survey, form 10-
0507
(7) 2900-0838--Veterans Transportation Service Data Collection
(1) Veterans Transportation Service Data Collection Telephonic
Script
(8) 2900-0834--Center for Verification and Evaluation Site Inspections
(1) CVE Site Inspection Survey, Historical
(2) CVE Site Inspection Survey, Regular
(9) 2900-0836--Post Engagement
(1) 2015 National Veterans Small Business Engagement Post
Engagement Survey
(10) 2900-0837--Awards & Return on Investment
(1) Awards and Return on Investment after 2015 National Veterans
Small Business Engagement (Small Business)
(2) Awards and Return on Investment after 2015 National Veterans
Small Business Engagement (Large Business)
(11) 2900-0835--Center for Verification and Evaluation Verification
Survey
(1) CVE Pre-Application Survey
(2) CVE Exit Survey
(3) CVE Post-Determination Letter
By direction of the Secretary.
Crystal Rennie,
Department Clearance Officer, Office of Privacy and Records Management,
Department of Veterans Affairs.
[FR Doc. 2016-75 Filed 1-7-16; 8:45 am]
BILLING CODE 8320-01-P
