Improving Caregiver Outcomes Through Structured Support Via Military Caregiver Peer Forums

ICR 201701-0704-001

OMB: 0704-0564

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2017-01-23
Supplementary Document
2017-01-23
Supplementary Document
2017-01-23
Supplementary Document
2017-01-23
Supporting Statement B
2017-01-23
Supporting Statement A
2017-01-23
ICR Details
0704-0564 201701-0704-001
Historical Active
DOD/DODDEP 0704-AAAJ
Improving Caregiver Outcomes Through Structured Support Via Military Caregiver Peer Forums
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/02/2017
Retrieve Notice of Action (NOA) 01/23/2017
  Inventory as of this Action Requested Previously Approved
06/30/2020 36 Months From Approved
90 0 0
90 0 0
3,857 0 0

The objective of this project is to assess the Military Caregiver PEER Forums to determine how they are currently improving and might better continue to improve caregiver well-being by reducing caregiver burden and addressing caregiver isolation. MC&FP will use the information gathered by this project to assess the implementation of PEER Forums and implement improvements, if needed. A complementary objective is to use the information gathered by this project to provide MC&FP with a framework for ongoing monitoring and evaluation of PEER Forums.

PL: Pub.L. 110 - 118 1611(f)(2) Name of Law: the National Defense Authorization Act for Fiscal Year 2008
  
None

Not associated with rulemaking

  81 FR 30521 05/17/2016
82 FR 2970 01/10/2017
No

1
IC Title Form No. Form Name
Improving Caregiver Outcomes Through Structured Support Via Military Caregiver Peer Forums

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 90 0 0 90 0 0
Annual Time Burden (Hours) 90 0 0 90 0 0
Annual Cost Burden (Dollars) 3,857 0 0 3,857 0 0
Yes
Miscellaneous Actions
No
This is a new information collection with a new associated burden.

$253,149
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Mayra Dalence 571 372-0417 mayra.dalence.ctr@mail.mil

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/23/2017


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