Jeff,
I'm uploading an example (ExtendedElementExample.java) that Audium used to provide.
It shows how to extend the Form element by adding another Setting and modifying the runtime method (addXmlBody).
In your case, you don't really need to modify the runtime method - you just want to modify the Settings and/or their default value, and/or the Audio.
Each element (eg, DigitsWithConfirm) is defined by a Java class that you can extend. Look in the ElementSpecifications ref manual - the class name is the very last entry for each element.
Look also in the CVP Programming Guide and the Javadocs for more details on extending elements.
When you extend an element, you'll need to include the elements.jar in your class path.
Good luck, Janine