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Case Management Intake
Military OneSource (MOS) Business Operations Information System
OMB: 0704-0528
IC ID: 212081
OMB.report
DOD/DODDEP
OMB 0704-0528
ICR 202109-0704-006
IC 212081
( )
Documents and Forms
Document Name
Document Type
0704-0528_MOS-CMS Screenshots.pdf
Other-Screenshots
0704-0528_MOS-CMS Screenshots.pdf
Other-Screenshots
0704-0528_ADN_2.11.22.docx
Agency Disclosure Notice
IC Document
0704-0528_ADN_2.11.22.docx
Agency Disclosure Notice
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Case Management Intake
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Screenshots
0704-0528_MOS-CMS Screenshots.pdf
Yes
Yes
Fillable Fileable Signable
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:
219,723
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
219,723
0
-5,861
0
0
225,584
Annual IC Time Burden (Hours)
219,723
0
163,327
0
0
56,396
Annual IC Cost Burden (Dollars)
397,699
0
-10,608
0
0
408,307
Documents for IC
Title
Document
Date Uploaded
Agency Disclosure Notice
0704-0528_ADN_2.11.22.docx
02/11/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.