Information Collection

Department of Defense National Survey of Employers

IC 194477 under ICR 201007-0704-001 · OMB 0704-0474.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0474 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Atch_1D_Employer_Survey_Content_Summary.doc	Other-Content Summary
Atch_2A_Screening_Telephone_Call_Script.doc	Other-Phone Script
Atch_2B_2C_QNSE1001_Letters_20100809.doc	Other-Letters
Atch_2D_2E_2F_QNSE1001_Emails_20100827.pdf	Other-Emails
Atch_2G_Reminder_Telephone_Script.doc	Other-Phone Script Reminder
Atch_3A_3B_Intro_ADN.doc	Other-Introduction
Atch_3C_3D_QNSE1001_Privacy_PAPER_20100827.pdf	Other-Introduction - Privacy
Atch_3E_Paper_Survey_20100504.pdf	Other-Survey
Atch_6A_6B_6C_ADN_PA_SR.doc	Other-ADN PA SR
Atch_7A_QNSE1001_FAQ_20100827.pdf	Other-FAQ
Atch_7B_QNSE1001_PIN_20100809.pdf.pdf	Other-PIN
Atch_7C_QNSE1001_Privacy_WEB_20100827.pdf	Other-Privacy-Web
Atch_7D_QNSE1001_Security_20100809.pdf	Other-Security
Atch_7E_QNSE1001_Welcome_20100809.pdf	Other-Welcome

IC Title:

Department of Defense National Survey of Employers

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Privacy-Web	Atch_7C_QNSE1001_Privacy_WEB_20100827.pdf	No		Paper Only
Other-Security	Atch_7D_QNSE1001_Security_20100809.pdf	No		Paper Only
Other-Phone Script	Atch_2A_Screening_Telephone_Call_Script.doc	No		Paper Only
Other-Introduction	Atch_3A_3B_Intro_ADN.doc	No		Paper Only
Other-Survey	Atch_3E_Paper_Survey_20100504.pdf	Yes	Yes	Fillable Fileable
Other-Content Summary	Atch_1D_Employer_Survey_Content_Summary.doc	No		Paper Only
Other-Letters	Atch_2B_2C_QNSE1001_Letters_20100809.doc	No		Paper Only
Other-Emails	Atch_2D_2E_2F_QNSE1001_Emails_20100827.pdf	No		Paper Only
Other-Phone Script Reminder	Atch_2G_Reminder_Telephone_Script.doc	No		Paper Only
Other-ADN PA SR	Atch_6A_6B_6C_ADN_PA_SR.doc	No		Paper Only
Other-FAQ	Atch_7A_QNSE1001_FAQ_20100827.pdf	No		Paper Only
Other-Welcome	Atch_7E_QNSE1001_Welcome_20100809.pdf	No		Paper Only
Other-PIN	Atch_7B_QNSE1001_PIN_20100809.pdf.pdf	No		Paper Only
Other-Introduction - Privacy	Atch_3C_3D_QNSE1001_Privacy_PAPER_20100827.pdf	No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: DMDC 08

FR Citation: 72 FR 56062

Number of Respondents: 24,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24,000	24,000
Annual IC Time Burden (Hours)	10,000	10,000
Annual IC Cost Burden (Dollars)	200,880	200,880

Documents for IC

table that charts IC Documents
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.