Information Collection

Active Duty Spouse Survey

IC 246376 under ICR 202103-0704-003 · OMB 0704-0604.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0604 can be found here:

Documents and Forms

Document Name Document Type
ADSS2101_SurveyInstrument_20210302.DOCX Other-Survey
ADSS_Survey Instrument.docx Other-Survey
ADSS_Supplemental_Survey_Instrument.docx Other-Supplemental Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Active Duty Spouse Survey	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-Survey			ADSS_Survey Instrument.docx		Yes	Yes	Fillable Fileable
Other-Supplemental Survey			ADSS_Supplemental_Survey_Instrument.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	11,500	11,500
Annual IC Time Burden (Hours)	2,875	2,875
Annual IC Cost Burden (Dollars)	172,270	172,270

Documents for IC

Title	Document	Date Uploaded
No associated records found

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