Spouse and Family Issues Survey – Active Duty

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0704-XXXX_SFIS_SSA_2.1.2023.docx	Supporting Statement A	Uploaded 2023-02-01	Repair queued
0704-XXXX_SFIS_FAQ_7.6.202.html	Supplementary Document	Uploaded 2022-07-06	Repair queued
0704-XXXX_SFIS_Thank You_7.6.2022.html	Supplementary Document	Uploaded 2022-07-06	Repair queued
0704-XXXX_SFIS_Privacy_7.6.2022.html	Supplementary Document	Uploaded 2022-07-06	Repair queued
0704-XXXX_SFIS_Letters_7.6.2022.docx	Supplementary Document	Uploaded 2022-07-06	Repair queued
0704-XXXX_SFIS_Emails_7.6.2022.docx	Supplementary Document	Uploaded 2022-07-06	Repair queued
0704-XXXX_SFIS_CreatePIN_7.6.2022.html	Supplementary Document	Uploaded 2022-07-06	Repair queued
0704-XXXX_SFIS_Coming Soon_7.6.2022.html	Supplementary Document	Uploaded 2022-07-06	Repair queued
0704-XXX_SFIS_Welcome_7.6.2022.html	Supplementary Document	Uploaded 2022-07-06	Repair queued
0704-XXXX_SSB_SFIS_7.6.2022.docx	Supporting Statement B	Uploaded 2022-07-06	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
254503	Spouse and Family Issues Survey - Active Duty	Other-Survey	New

ICR Details

OMB Control No: 0704-0675	ICR Reference No: 202207-0704-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOW/DODDEP	Agency Tracking No: 0704-SFIS
Title: Spouse and Family Issues Survey – Active Duty
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/01/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/01/2023
Terms of Clearance: This collection is approved based on the revised materials provided by the Department. DOD is reminded that the results of this survey should be shared with OMB before they are publicly disseminated.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2026	36 Months From Approved
Responses	11,500	0	0
Time Burden (Hours)	2,875	0	0
Cost Burden (Dollars)	80,500	0	0

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Abstract: In accordance with Section 567 of the National Defense Authorization Act (NDAA) for Fiscal Year (FY) 2015, this survey will serve as the primary source for reliable and generalizable survey data on the prevalence of suicide ideation and attempts by military spouses and dependents.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 48474	08/09/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 5864	01/30/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Spouse and Family Issues Survey - Active Duty

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	11,500	0	0	11,500	0	0
Annual Time Burden (Hours)	2,875	0	0	2,875	0	0
Annual Cost Burden (Dollars)	80,500	0	0	80,500	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Burden increase due to a new collection with a new associated burden.

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Annual Cost to Federal Government: $567,755

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/01/2023

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