Information Collection

Department of Defense Survivor Survey

IC 253450 under ICR 202205-0704-008 · OMB 0704-0660.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0660 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
0704-DDSS_InterviewScript_11.8.2022.docx	Other-Script
0704-DDSS_InterviewScript_11.8.2022.docx	Other-Script
0704-XXXX_DDSS Introductory Letter.docx Introductory Letter	IC Document
0704-XXXX_DDSS Introductory Letter.docx Introductory Letter	IC Document
0704-XXXX_DDSS Communication.docx Communication	IC Document
0704-XXXX_DDSS Communication.docx Communication	IC Document
0704-XXXX_DDSS FAQ.docx FAQ	IC Document
0704-XXXX_DDSS FAQ.docx FAQ	IC Document

IC Title:

Department of Defense Survivor Survey

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-Script			0704-DDSS_InterviewScript_11.8.2022.docx		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 540

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	540	540
Annual IC Time Burden (Hours)	270	270
Annual IC Cost Burden (Dollars)	7,312	7,312

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Introductory Letter	0704-XXXX_DDSS Introductory Letter.docx	05/16/2022
Communication	0704-XXXX_DDSS Communication.docx	05/16/2022
FAQ	0704-XXXX_DDSS FAQ.docx	05/16/2022

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