Information Collection

Pension Verification-interview Worksheet

IC 147860 under ICR 198104-2900-017 · OMB 2900-0271.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

PENSION VERIFICATION-INTERVIEW WORKSHEET

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	20-8849,	No	No
Form	8849A,	No	No
Form	8849B,	No	No
Form	8849C,	No	No
Form	& 21-8848	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,028

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4,028	4,028
Annual IC Time Burden (Hours)	4,028	4,028
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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