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Improving Caregiver Outcomes Through Structured Support Via Military Caregiver Peer Forums
Improving Caregiver Outcomes Through Structured Support Via Military Caregiver Peer Forums
OMB: 0704-0564
IC ID: 225280
OMB.report
DOD/DODDEP
OMB 0704-0564
ICR 201701-0704-001
IC 225280
( )
Documents and Forms
Document Name
Document Type
Collection Instrument_Administrators.DOCX
Other-Interview
Collection Instrument_MFLC.DOCX
Other-Interview
Collection Instrument_Participants.DOCX
Other-Interview
Collection Instrument_RCC.DOCX
Other-Interview
Consent Before Interview.DOC
Other-Consent Before Interview
Consent_Oral.DOC
Other-Oral Consent
Outreach Email.DOC
Other-Email
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Improving Caregiver Outcomes Through Structured Support Via Military Caregiver Peer Forums
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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-Interview
Collection Instrument_MFLC.DOCX
No
Paper Only
Other-Interview
Collection Instrument_Administrators.DOCX
No
Paper Only
Other-Interview
Collection Instrument_Participants.DOCX
No
Paper Only
Other-Interview
Collection Instrument_RCC.DOCX
No
Paper Only
Other-Consent Before Interview
Consent Before Interview.DOC
No
Paper Only
Other-Oral Consent
Consent_Oral.DOC
No
Paper Only
Other-Email
Outreach Email.DOC
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Defense and National Security
Subfunction:
Operational Defense
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
90
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
50 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
90
0
90
0
0
0
Annual IC Time Burden (Hours)
90
0
90
0
0
0
Annual IC Cost Burden (Dollars)
3,857
0
3,857
0
0
0
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.