Information Collection

Prevention Survey

IC 247512 under ICR 202412-0704-010 · OMB 0704-0610.

Documents and Forms

Document Name Document Type
Prevention Survey.pdf Other-Survey
Prevention Survey_Final.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Prevention Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Prevention Survey_Final.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: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	600	-800	1,400
Annual IC Time Burden (Hours)	100	-133	233
Annual IC Cost Burden (Dollars)	1,692	-2,256	3,948

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.