Information Collection

Service Member Spouse Survey

IC 193912 under ICR 201007-0704-002 · OMB 0704-0473.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Spouse Survey v 5_11.docx	Other-Survey
Signed_OMB Neyland_Letter[1].pdf Emergency Request	IC Document

IC Title:

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey					No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 52,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	52,500	52,500
Annual IC Time Burden (Hours)	17,325	17,325
Annual IC Cost Burden (Dollars)	329,175	329,175

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Emergency Request		07/23/2010

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

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