Information Collection

Policy Pulse Survey

IC 229292 under ICR 202012-0704-006 · OMB 0704-0570.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0570 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Policy Pulse Survey Screen Shots_05MAR2021.docx	Other-Survey Screenshots
Policy Pulse Survey Screen Shots_05MAR2021.docx	Other-Survey Screenshots
2020 Survey Questions_ Drop downs.docx 2020 Survey Questions_ Drop Downs	IC Document
2020 Survey Questions_ Drop downs.docx 2020 Survey Questions_ Drop Downs	IC Document
Please Take the 2020 Pulse Survey_Redacted.pdf Invite Email	IC Document
Please Take the 2020 Pulse Survey_Redacted.pdf Invite Email	IC Document
Reminder Email_Redacted.pdf Reminder Email	IC Document
Reminder Email_Redacted.pdf Reminder Email	IC Document
ADN.PNG Agency Disclosure Notice	IC Document
ADN.PNG Agency Disclosure Notice	IC Document

IC Title:

Policy Pulse Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 Screenshots			Policy Pulse Survey Screen Shots_05MAR2021.docx		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: 198

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	Previously Approved
Annual Number of Responses for this IC	396	90	306
Annual IC Time Burden (Hours)	99	22	77
Annual IC Cost Burden (Dollars)	4,613	2,064	2,549

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2020 Survey Questions_ Drop Downs	2020 Survey Questions_ Drop downs.docx	02/09/2021
Invite Email	Please Take the 2020 Pulse Survey_Redacted.pdf	02/09/2021
Reminder Email	Reminder Email_Redacted.pdf	02/09/2021
Agency Disclosure Notice	ADN.PNG	03/05/2021

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