Information Collection

Service Member Spouse Survey

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

Documents and Forms

Document Name Document Type
Spouse Survey v 5_11.docx Other-Survey
Signed_OMB Neyland_Letter[1].pdf Emergency Request IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Service Member Spouse Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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			Spouse Survey v 5_11.docx		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 %

	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

Title	Document	Date Uploaded
Emergency Request	Signed_OMB Neyland_Letter[1].pdf	07/23/2010

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