ANNUAL SURVEY OF STATE-ADMINISTERED PUBLIC-EMPLOYEE RETIREMENT SYSTEMS

ICR 197812-0607-012

OMB: 0607-0161

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0607-0161 197812-0607-012
Historical Active 197408-0607-001
DOC/CENSUS
ANNUAL SURVEY OF STATE-ADMINISTERED PUBLIC-EMPLOYEE RETIREMENT SYSTEMS
Extension without change of a currently approved collection   No
Regular
Approved without change 12/21/1978
Retrieve Notice of Action (NOA) 12/06/1978
  Inventory as of this Action Requested Previously Approved
12/31/1982 12/31/1982 12/31/1978
197 0 197
197 0 197
0 0 0

THIS FORM DEALS WITH FINANCIAL AND MEMBERSHIP DATA ON STATE-ADMINISTERED PUBLIC EMPLOYEE RETIREMNT SYSTEMS. A RECENT EXPANSION TO THE F-12 RESULTED FROM REQUESTS BY DATA USERS, INCLUDING STAFF OF THE SOCIAL SECURITY ADMINISTRATION (HEW). DATA COLLECTED ARE PUBLISHED IN SEVERAL OF THE BUREAU'S ANNUAL REPORTS ON GOVERNMENTAL FINANCES.

None
None


No

1
IC Title Form No. Form Name
ANNUAL SURVEY OF STATE-ADMINISTERED PUBLIC-EMPLOYEE RETIREMENT SYSTEMS F-12

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 197 197 0 0 0 0
Annual Time Burden (Hours) 197 197 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/06/1978


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