Information Collection

Active Duty Spouse Survey

IC 246376 under ICR 202108-0704-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
0704-0604_ADSS2101_Survey_CLEAN_8.4.2021.pdf	Other-Survey
0704-0604_ADSS2101_Survey_CLEAN_8.4.2021.pdf	Other-Survey

IC Title:

Active Duty Spouse 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			0704-0604_ADSS2101_Survey_CLEAN_8.4.2021.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: 11,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,500	0	11,500
Annual IC Time Burden (Hours)	2,875	0	2,875
Annual IC Cost Burden (Dollars)	86,135	-86,135	172,270

Documents for IC

table that charts IC Documents
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.