Information Collection

ChalleNGe Cadet Survey

IC 211386 under ICR 201404-0704-004 · OMB 0704-0521.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ChalleNGe Cadet Survey_04-23-14.docx	Other-Survey
Letter to Cadets.docx	Other-Letter to Cadets
Survey Introduction--Script_04-23-14.docx	Other-Survey Introduction Script
Information Sheet_Adolescents.doc	Other-Information Sheet - Adolescent
ca_bill_of_rights-eng.pdf	Other-Bill of Rights - English
CA_bill_of_rights_sp.pdf	Other-Bill of Rights - Spanish
Survey Consent Form_revised.docx	Other-Revised Consent Form
reminder email text.docx	Other-Reminder Email

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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Bill of Rights - Spanish	CA_bill_of_rights_sp.pdf	No		Paper Only
Other-Revised Consent Form	Survey Consent Form_revised.docx	No		Paper Only
Other-Bill of Rights - English	ca_bill_of_rights-eng.pdf	No		Paper Only
Other-Reminder Email	reminder email text.docx	Yes	Yes	Fillable Fileable
Other-Survey	ChalleNGe Cadet Survey_04-23-14.docx	No		Paper Only
Other-Letter to Cadets	Letter to Cadets.docx	No		Paper Only
Other-Survey Introduction Script	Survey Introduction--Script_04-23-14.docx	No		Paper Only
Other-Information Sheet - Adolescents	Information Sheet_Adolescents.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: 1,200

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	2,000	2,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	2,422	2,422

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.