Information Collection

Community Capacity Inventory

IC 254524 under ICR 202207-0704-003 · OMB 0704-0664.

Documents and Forms

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			0704-CCIS_CCI_ServiceMember_12.14.2022.docx		Yes	Yes	Fillable Fileable
Other-Survey			0704-CCIS_CCI_Spouse_12.14.2022.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: 10,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,500	10,500
Annual IC Time Burden (Hours)	5,250	5,250
Annual IC Cost Burden (Dollars)	142,170	142,170

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.