Exceptional Family Member Program Survey

ICR 202203-0704-016

OMB: 0704-0638

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2022-05-10
Supplementary Document
2022-05-10
Supplementary Document
2022-05-10
Supplementary Document
2022-05-10
Supplementary Document
2022-05-10
Supplementary Document
2022-05-10
Supplementary Document
2022-05-10
Supporting Statement B
2022-05-20
Supporting Statement A
2022-05-23
IC Document Collections
ICR Details
202203-0704-016
Received in OIRA
DOD/DODDEP 0704-EFMS
Exceptional Family Member Program Survey
New collection (Request for a new OMB Control Number)   No
Regular 05/23/2022
  Requested Previously Approved
36 Months From Approved
16,500 0
4,125 0
165,000 0

This collection is necessary, as mandated by the FY2021 NDAA, to assess the opinions and experiences of active duty members and to provide key metrics to the Office of Special Needs (OSN). OSN needs to conduct a survey to gather information on performance metrics. Results will be used by OSN to evaluate and update EFMP.

None
None

Not associated with rulemaking

  87 FR 3784 01/25/2022
87 FR 31220 05/23/2022
No

1
IC Title Form No. Form Name
2022 Exceptional Family Member Program Survey

  Total Request 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 16,500 0 0 16,500 0 0
Annual Time Burden (Hours) 4,125 0 0 4,125 0 0
Annual Cost Burden (Dollars) 165,000 0 0 165,000 0 0
Yes
Miscellaneous Actions
No
This is a new collection with a new associated burden.

$439,395
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
LaTarsha Yeargins 571 372-2089 latarsha.r.yeargins.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.
05/23/2022


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