OMB control number

Travis Air Force Base Exceptional Family Member Program (EFMP) Pilot Program Evaluation Survey

OMB 0720-0075 · DOD/DODOASHA.

OMB 0720-0075

David Grant Medical Center is taking part in a pilot program for EFMP family members. The goal of this pilot program is to connect EFMP families with quality medical and non-medical resources to support and care for their family members. In this pilot program, EFMP family members at David Grant are being provided with “Care Maps” that identify resources tailored to their diagnoses. The intent of this web-based survey is to solicit feedback on the efficacy and usefulness of these resources, as well as feedback from EFMP families at David Grant that have not received specialized maps to understand their experience in obtaining EFMP care without said resources

The latest form for Travis Air Force Base Exceptional Family Member Program (EFMP) Pilot Program Evaluation Survey expires 2027-04-30 and is listed under ICR 202401-0720-002.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
DoDI 1315.19.pdf Supplementary Document
EFMP Survey Invite Letters_11.29.2023.docx Supplementary Document
0720-EFMP_SSB_2.20.2024.docxSupporting Statement B
0720-EFMP_SSA_3.11.2024.docxSupporting Statement A
Exceptional Family Member Program(EFMP) Pilot Program Evaluation at Travis Air Force Base Survey Other-Survey

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202401-0720-002 New collection (Request for a new OMB Control Number) 2024-03-12 Approved with change