Information Collection

DISAM Information Technology Mission System (DISM)

IC 218066 under ICR 201508-0704-006 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
disam_registration_application.pdf	Other-Registration Application
guest_speaker_request_form.pdf	Other-Request Form
Travel Application Screen Shots ICB Reviewed.docx	Other-Travel Application Screenshots

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-Registration Application	disam_registration_application.pdf	Yes	Yes	Fillable Fileable Signable
Other-Request Form	guest_speaker_request_form.pdf	Yes	Yes	Fillable Fileable Signable
Other-Travel Application Screenshots	Travel Application Screen Shots ICB Reviewed.docx	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,024

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 98 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,536	7,536
Annual IC Time Burden (Hours)	1,884	1,884
Annual IC Cost Burden (Dollars)	39,601	39,601

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.