Information Collection

Department of Defense Survivor Survey

IC 253450 under ICR 202604-0704-004 · OMB 0704-0660.

Documents and Forms

Document Name Document Type
0704-0660_InterviewScript.docx Other-Script

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Department of Defense Survivor Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Script			0704-0660_InterviewScript.docx		No		Paper Only

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 570	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	570	30	540
Annual IC Time Burden (Hours)	285	15	270
Annual IC Cost Burden (Dollars)	9,308	1,996	7,312

Documents for IC

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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