800 SERVICE EVALUATION CALLER RECONTACT SURVEY

ICR 198907-0960-007

OMB: 0960-0465

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
115605 Migrated
ICR Details
0960-0465 198907-0960-007
Historical Active 198810-0960-001
SSA
800 SERVICE EVALUATION CALLER RECONTACT SURVEY
Revision of a currently approved collection   No
Regular
Approved without change 10/04/1989
Retrieve Notice of Action (NOA) 07/24/1989
This information collection is approved through December, 1990, under the condition that SSA provide OMB with copies of the quarterly reports beginning in early 1990.
  Inventory as of this Action Requested Previously Approved
12/31/1990 12/31/1990 12/31/1989
4,000 0 2,000
667 0 333
0 0 0

THE INFORMATION COLLECTED BY THIS FORM IS USED BY THE SOCIAL SECURITY ADMINISTRATION (SSA) TO EVALUATE THE NEW TOLL-FREE 800 SERVIC NUMBER. THE RESPONDENTS CONSIST OF SELECTED INDIVIDUALS WHO HAVE RECENTLY CONTACTED SSA BY USING THIS NUMBER.

None
None


No

1
IC Title Form No. Form Name
800 SERVICE EVALUATION CALLER RECONTACT SURVEY SSA-4305

  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 4,000 2,000 0 2,000 0 0
Annual Time Burden (Hours) 667 333 0 334 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/24/1989


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