Department of Defense Survivor Survey

Department of Defense Survivor Family Member Survey

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.