Information Collection

Network of Support Pilot Survey #2

IC 259358 under ICR 202303-2900-013 · OMB 2900-0927.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2023 Survey_Network of Support Pilot_03022023 .docx	Other-Survey
NOS Pilot-Instrument (Final).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			NOS Pilot-Instrument (Final).docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Legislative Functions

Privacy Act System of Records

Title: Veterans Affairs/Department of Defense Identity Repository (VADIR)-VA

FR Citation: 88 FR 12133

Number of Respondents: 300

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	300	300
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

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.