Information Collection

Improving Caregiver Outcomes Through Structured Support Via Military Caregiver Peer Forums

IC 225280 under ICR 201701-0704-001 · OMB 0704-0564.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Collection Instrument_Administrators.DOCX	Other-Interview
Collection Instrument_MFLC.DOCX	Other-Interview
Collection Instrument_Participants.DOCX	Other-Interview
Collection Instrument_RCC.DOCX	Other-Interview
Consent Before Interview.DOC	Other-Consent Before Interview
Consent_Oral.DOC	Other-Oral Consent
Outreach Email.DOC	Other-Email

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-Interview	Collection Instrument_MFLC.DOCX	No		Paper Only
Other-Interview	Collection Instrument_Administrators.DOCX	No		Paper Only
Other-Interview	Collection Instrument_Participants.DOCX	No		Paper Only
Other-Interview	Collection Instrument_RCC.DOCX	No		Paper Only
Other-Consent Before Interview	Consent Before Interview.DOC	No		Paper Only
Other-Oral Consent	Consent_Oral.DOC	No		Paper Only
Other-Email	Outreach Email.DOC	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: 90

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	90	90
Annual IC Cost Burden (Dollars)	3,857	3,857

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.