DMA - Visual Information Questionnaire

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0553 can be found here:

Documents and Forms

Document Name Document Type
EXAMPLE-EVI-Interactive_SurveyPg5(2).PDF Other-Eye on Vi Newsletter
DIMOC-Website-SurveyEXAMPLE.pdf Other-DIMOC Website (Mock up)
DVIDS-SurveyEXAMPLE.pdf Other-DVIDS Newsletter (Mock up)
VI-Survey-ScreenGrab.pdf Other-Survey Questionnaire
Generic_Clearance_Submission_DIMOC-Questionnaire_v2.DOC DMA - Visual Information Questionnaire IC Document

Information Collection (IC) Details

IC Title:	DMA - Visual Information Questionnaire	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Eye on Vi Newsletter	EXAMPLE-EVI-Interactive_SurveyPg5(2).PDF	Yes	Yes	Fillable Fileable Signable
Other-DIMOC Website (Mock up)	DIMOC-Website-SurveyEXAMPLE.pdf	Yes	Yes	Fillable Fileable Signable
Other-DVIDS Newsletter (Mock up)	DVIDS-SurveyEXAMPLE.pdf	Yes	Yes	Fillable Fileable Signable
Other-Survey Questionnaire	VI-Survey-ScreenGrab.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: 125	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	125	125
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
DMA - Visual Information Questionnaire	Generic_Clearance_Submission_DIMOC-Questionnaire_v2.DOC	05/16/2017

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