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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pentagon/Mark Center Food Satisfaction Survey	Agency IC Tracking Number:

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-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 %

	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

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.