Information Collection

DoD Hearing Center of Excellence JHASIR Training Survey

IC 242867 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⚠️ Notice: This information collection may be referencing outdated material.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
JHASIR Training Survey (1).pdf	Other-Survey
JHASIR_OnePager_7.24.2020.docx One pager	IC Document

IC Title:

DoD Hearing Center of Excellence JHASIR Training Survey

Agency IC Tracking Number:

IC Status: New

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-Survey			JHASIR Training Survey (1).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: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

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	1,000	1,000
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	360	360

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
One pager	JHASIR_OnePager_7.24.2020.docx	07/29/2020

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