Defense Security Service

National Security and Critical Technology Assessments of the US Industrial Base

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0119 can be found here:

Documents and Forms

Document Name Document Type
OMB-0694-0119-PRA-Package-DSS-Excel-Survey-2016.xlsx Instruction
OMB-0694-0119-PRA-Package-DSS-Website-2016.docx DSS Website IC Document
OMB-0694-0119-PRA-Package-DSS-Supporting-Statement-2016.docx Supporting Statement IC Document
OMB-0694-0119-PRA-Package-DSS-Summary-Page-2016.doc Summary Page IC Document
OMB-0694-0119-PRA-Package-DSS-Kick-Off-Letter-2016.pdf Kick Off Letter IC Document
OMB-0694-0119-PRA-Package-DSS-Distribution-Letter-2016.docx Distribution Letter IC Document
OMB-0694-0119-PRA-Package-DSS-Background-One-Pager-2016.docx Background One Pager IC Document
OMB-0694-0119-PRA-Package-DSS-PDF-Survey-2016.pdf PDF Survey IC Document

Information Collection (IC) Details

IC Title:	Defense Security Service	Agency IC Tracking Number:	0694-0119

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			OMB-0694-0119-PRA-Package-DSS-Excel-Survey-2016.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Strategic National and Theater Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,400	10,400
Annual IC Time Burden (Hours)	104,000	104,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
DSS Website	OMB-0694-0119-PRA-Package-DSS-Website-2016.docx	06/29/2016
Supporting Statement	OMB-0694-0119-PRA-Package-DSS-Supporting-Statement-2016.docx	06/29/2016
Summary Page	OMB-0694-0119-PRA-Package-DSS-Summary-Page-2016.doc	06/29/2016
Kick Off Letter	OMB-0694-0119-PRA-Package-DSS-Kick-Off-Letter-2016.pdf	06/29/2016
Distribution Letter	OMB-0694-0119-PRA-Package-DSS-Distribution-Letter-2016.docx	06/29/2016
Background One Pager	OMB-0694-0119-PRA-Package-DSS-Background-One-Pager-2016.docx	06/29/2016
PDF Survey	OMB-0694-0119-PRA-Package-DSS-PDF-Survey-2016.pdf	06/29/2016

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