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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.