Information Collection

Heart Of Recovery

IC 231293 under ICR 201801-0702-001 · OMB 0702-0143.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0702-0143 can be found here:

Documents and Forms

Document Name Document Type
Caregiver Survey_4-30-18.docx Other-Survey
Screenshots for Heart of Recovery Survey 4-30-18.pdf Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Heart Of Recovery	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Caregiver Survey_4-30-18.docx		Yes	Yes	Fillable Fileable
Other-Survey			Screenshots for Heart of Recovery Survey 4-30-18.pdf		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: 5,000	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	5,000	5,000
Annual IC Time Burden (Hours)	2,500	2,500
Annual IC Cost Burden (Dollars)	40,000	40,000

Documents for IC

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.