Information Collection

Installation Management Command Survivor Outreach Service System

IC 244924 under ICR 202012-0702-001 · OMB 0702-0148.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0702-0148 can be found here:

Documents and Forms

Document Name Document Type
0702-SOIM_Screenshots_1.6.2021.pdf Other-Database
0702-SOIM_Screenshots_1.6.2021.pdf Other-Database
ADN+OMB+PAS_0702-SOIM.docx Privacy Act Statement and PRA Information for Respondents IC Document
ADN+OMB+PAS_0702-SOIM.docx Privacy Act Statement and PRA Information for Respondents IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Installation Management Command Survivor Outreach Service System	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-Database			0702-SOIM_Screenshots_1.6.2021.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: 72,307	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	180,044	180,044
Annual IC Time Burden (Hours)	54,013	54,013
Annual IC Cost Burden (Dollars)	1,877,499	1,877,499

Documents for IC

Title	Document	Date Uploaded
Privacy Act Statement and PRA Information for Respondents	ADN+OMB+PAS_0702-SOIM.docx	01/06/2021

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