Information Collection

USMC Family Care Programs Youth Connection Request

IC 278821 under ICR 202601-0712-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NAVMC 1750/16 USMC Family Care Programs Youth Connection Request	Form
Form NAVMC 1750/16 USMC Family Care Programs Youth Connection Request USMC Family Care Programs Youth Connection Request	Form
NAVMC 1750/16 USMC Family Care Programs Youth Connection Request 0712-FMLY_NAVMC 1750-16_DRAFT.pdf	Form
NAVMC 1750/16 USMC Family Care Programs Youth Connection Request 0712-FMLY_NAVMC 1750-16_DRAFT.pdf	Form

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
Form	NAVMC 1750/16				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: 3,500

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	3,500	3,500
Annual IC Time Burden (Hours)	1,750	1,750
Annual IC Cost Burden (Dollars)	69,213	69,213

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.

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