Information Collection

Exceptional Family Member Program Survey

IC 252408 under ICR 202203-0704-016 · OMB 0704-0638.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0638 can be found here:

Documents and Forms

Document Name Document Type
0704-EFMS_SurveyInstrument_5.20.22.docx Other-Survey
0704-XXXX_Survey_EFMP_10.3.2022.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Exceptional Family Member Program 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			0704-XXXX_Survey_EFMP_10.3.2022.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: 16,500	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	16,500	16,500
Annual IC Time Burden (Hours)	4,125	4,125
Annual IC Cost Burden (Dollars)	165,000	165,000

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.