Information Collection

Defense Security Service Employee Suggestion/Comment Form

IC 235396 under ICR 201909-0704-011 · OMB 0704-0553.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DSS Employee Suggestion_Comment Form.pdf	Other-Feedback Survey
DSS Survey Generic Memo.doc DSS Survey Generic Memo	IC Document

IC Title:

Defense Security Service Employee Suggestion/Comment Form

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

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
Other-Feedback Survey			DSS Employee Suggestion_Comment Form.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: 75

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	45	45

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DSS Survey Generic Memo	DSS Survey Generic Memo.doc	03/18/2019

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