Information Collection

Office of Insular Affairs Partner and Stakeholder Survey

IC 277355 under ICR 202407-1040-001 · OMB 1040-0001.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Department of the Interior Office of Insular Affair's Satisfaction Survey_Survey Instrament.pdf	Other-Survey Tool
Survey Correspondence #1.docx	Other-Correspondence #1
Survey Correspondence #2.docx	Other-Correspondence #2
Survey Correspondence #3.docx	Other-Correspondence #3
DI-4010 Generic Clearance Request Form updated 01-17-2024_Final.pdf Justification for Submission	IC Document

IC Title:

Agency IC Tracking Number:

2025-OS-CS1

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Tool	Department of the Interior Office of Insular Affair's Satisfaction Survey_Survey Instrament.pdf	Yes	Yes	Fillable Fileable
Other-Correspondence #1	Survey Correspondence #1.docx	Yes	Yes	Fillable Fileable
Other-Correspondence #2	Survey Correspondence #2.docx	Yes	Yes	Fillable Fileable
Other-Correspondence #3	Survey Correspondence #3.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: 30

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	60	60
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Submission	DI-4010 Generic Clearance Request Form updated 01-17-2024_Final.pdf	09/02/2025

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