Information Collection

Defense Security Service

IC 222251 under ICR 201602-0694-001 · OMB 0694-0119.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Defense Security Service

Agency IC Tracking Number:

0694-0119

IC Status: New

Obligation to Respond: Mandatory

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
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 %

table that charts list of burden
	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

table that charts IC Documents
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.