Information Collection

Military OneSource Triage Experience Survey

IC 278408 under ICR 202505-0704-008 · OMB 0704-0553.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MOS Triage Experience Survey Screenshots.docx	Other-Survey
One Pager_Military One Source Triage_04072025.docx One Pager	IC Document
Phone Script .docx Phone Script	IC Document

IC Title:

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-Survey					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: 960

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	960	960
Annual IC Time Burden (Hours)	32	32
Annual IC Cost Burden (Dollars)	1,037	1,037

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
One Pager		12/11/2025
Phone Script		01/15/2026

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

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