View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	2021 021 Feedback Survey Mapping Doc Health.mil Info Architecture Feedback Survey June 10 2021	Agency IC Tracking Number:	021

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
Form and Instruction	021	2021 021 Feedback Survey Mapping Doc Health.mil Info Architecture Feedback Survey June 10 2021	2021 021 Feedback Survey Mapping Doc Health.mil Info Architecture Feedback Survey June 10 2021.xlsx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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	500	0	500	0	0	0
Annual IC Time Burden (Hours)	21	0	21	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
1090-0008 Health.mil Info Architecture survey 6-10-2021_DL	1090-0008 Health.mil Info Architecture survey 6-10-2021_DL.pdf	06/10/2021
1090-0008 Survey Mapping Doc Health.mil Info Architecture Feedback Survey June 10 2021	1090-0008 Survey Mapping Doc Health.mil Info Architecture Feedback Survey June 10 2021.docx	06/10/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.