Information Collection

Pentagon/Mark Center Food Satisfaction Survey

IC 228012 under ICR 201408-0704-004 · OMB 0704-0420.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0420 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2017 Pentagon Food Survey FORM - 08-16-17.PDF	Other-Online Survey
One-Page Justification - 0704-0420 - Food Survey.DOC One-Page Justification Statement	IC Document
PMC 2017 Food Survey Card.PDF Invitation to Participate 1 - Card	IC Document
PMC 2017 Food Survey Tent Advertisement.PDF Invitation to Participate 2 - Tent	IC Document
PMC 2017 Food Survey Poster.PDF Invitation to Participate 3 - Poster	IC Document

IC Title:

Pentagon/Mark Center Food Satisfaction Survey

Agency IC Tracking Number:

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-Online Survey			2017 Pentagon Food Survey FORM - 08-16-17.PDF		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 999

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	999	999
Annual IC Time Burden (Hours)	166	166
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
One-Page Justification Statement	One-Page Justification - 0704-0420 - Food Survey.DOC	08/23/2017
Invitation to Participate 1 - Card	PMC 2017 Food Survey Card.PDF	08/23/2017
Invitation to Participate 2 - Tent	PMC 2017 Food Survey Tent Advertisement.PDF	08/23/2017
Invitation to Participate 3 - Poster	PMC 2017 Food Survey Poster.PDF	08/23/2017

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