Information Collection

Mental Health Issues among Separating Marines: Longitudinal Assessment of the Resilience of Deployed Marines

IC 184006 under ICR 201012-0703-001 · OMB 0703-0056.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Agency Disclosure Notice.doc	Other-ADN
ResilienceII-FollowUp-Survey-final.doc	Other-Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-ADN			Agency Disclosure Notice.doc		No		Paper Only
Other-Survey			ResilienceII-FollowUp-Survey-final.doc		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,850

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,850	-1,850	3,700
Annual IC Time Burden (Hours)	1,850	-1,850	3,700
Annual IC Cost Burden (Dollars)	37,000	-29,600	66,600

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.