View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Case Management Intake	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-System Screenshots			Military_OneSource_CMS_Screenshots1 (3).pdf		Yes	Yes	Fillable Fileable
Other-Promo Material - Fact Sheet			FactSheet_MOSInfoPaper_15Oct2012_FINAL[1].pdf		Yes	No	Printable Only
Other-Promo Material - Overview			Military OneSource Overview.pdf		Yes	No	Printable Only
Other-Promo Material - Brochure			MOS_CounselingBrochure_26April2013_MT[1].pdf		Yes	No	Printable Only
Other-Promo Material - Flier			MOS_Flier_General What Can MOS Do For You.pdf		Yes	No	Printable Only
Other-PAS & ADN			PAS & ADN (8-4-14).docx		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: 900,000	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	900,000	0	0	0	900,000	0
Annual IC Time Burden (Hours)	45,000	0	0	0	45,000	0
Annual IC Cost Burden (Dollars)	759,150	0	0	0	759,150	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.