Information Collection

OFRP Study Questionnaire

IC 254987 under ICR 202207-0703-007 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DBx questionnaire_8.1.2022.docx	Other-Survey
0703-OFRP_DBx Questionnaire with Consent_8.17.2022.docx	Other-Survey

IC Title:

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-Survey			0703-OFRP_DBx Questionnaire with Consent_8.17.2022.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: 495

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	495	495
Annual IC Time Burden (Hours)	248	248
Annual IC Cost Burden (Dollars)	7,425	7,425

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.