Information Collection

Improvements to the Coordinated Community Response (CCR) to Domestic Abuse in Military and Certain Affiliated Personnel

IC 270288 under ICR 202211-0704-004 · OMB 0704-0644.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0644 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DAVA_Phase1_DAVA_Census_Instrument_JAG_07242024.docx	Other-LS Questions
DAVA_Phase1_DAVA_Lead_LS_Questions_Instrument_JAG_07262024.docx	Other-LS Lead Questions
0704-0644_DAVA_SSA_9.16.2024_.docx Supporting Statement A	IC Document
0704-0644_DAVA_SSB_9.9.docx Supporting Statement B	IC Document
DAVA_Phase1_DAVA_Census_Letter_of_Consent_JAG_08092024.docx Census Consent Letter	IC Document
DAVA_Phase1_DAVA_Census_Request_For_Participation_JAG_07262024.docx Census Participation Request	IC Document
DAVA_Phase1_DAVA_Lead_Letter_of_Consent_JAG_08092024.docx Lead Consent Letter	IC Document
DAVA_Phase1_DAVA_Lead_LS_Google_Form_JAG_07262024.pdf Lead Google Letter	IC Document
DAVA_Phase1_DAVA_Lead_LS_Guide_JAG_07242024.docx Lead Guide	IC Document
DAVA_Phase1_DAVA_Lead_Request_For_Partcipation_JAG_07262024.docx Lead Participation Request	IC Document
DAVA_Phase1_DAVA_Listening Session_Letter_of_Consent_JAG_08092024.docx Listening Session Consent Letter	IC Document
DAVA_Phase1_DAVA_LS_Google_Form_JAG_07242024.pdf Listening Session Google Form	IC Document
DAVA_Phase1_DAVA_LS_Guide_JAG_07242024.docx Listening Session Guide	IC Document
DAVA_Phase1_DAVA_Request_For_LS_Partcipation_JAG_07242024.docx Listening Session Participation Request	IC Document

IC Title:

Improvements to the Coordinated Community Response (CCR) to Domestic Abuse in Military and Certain Affiliated Personnel

Agency IC Tracking Number:

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-LS Questions					Yes	Yes	Fillable Fileable
Other-LS Lead Questions					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: 148

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	148	148
Annual IC Time Burden (Hours)	96	96
Annual IC Cost Burden (Dollars)	2,476	2,476

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement A		09/16/2024
Supporting Statement B		09/09/2024
Census Consent Letter		08/21/2024
Census Participation Request		08/21/2024
Lead Consent Letter		08/21/2024
Lead Google Letter		08/21/2024
Lead Guide		08/21/2024
Lead Participation Request		08/21/2024
Listening Session Consent Letter		08/21/2024
Listening Session Google Form		08/21/2024
Listening Session Guide		08/21/2024
Listening Session Participation Request		08/21/2024

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

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