Information Collection

E-Gov Post-Entitlement Survey

IC 45249 under ICR 200609-0960-019 · OMB 0960-0526.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0526 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
E-gov PE Survey Prenotice Letter - PE Strata.doc	Other-Pre-Survey Notice (PE strata)
E-gov PE Survey Prenotice Letter - Payees.doc	Other-Pre-Survey Notice (Rep payees)
E-gov PE Survey Form - Traditional Reporters.doc	Other-Survey (Traditional Reporters)
E-gov PE Survey Form - Successful IVR Users.doc	Other-Survey (IVR Users)
E-gov PE Survey Form - Successful Internet Users.doc	Other-Survey (Internet Users)
E-gov PE Survey Form - Representative Payees.doc	Other-Survey (Rep Payees)
Generic Clearance- E-Gov Postentitlement Survey Description.doc Description of Survey	IC Document

IC Title:

E-Gov Post-Entitlement Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Survey (Internet Users)	E-gov PE Survey Form - Successful Internet Users.doc	No	Paper Only
Other-Pre-Survey Notice (Rep payees)	E-gov PE Survey Prenotice Letter - Payees.doc	No	Paper Only
Other-Survey (Traditional Reporters)	E-gov PE Survey Form - Traditional Reporters.doc	No	Paper Only
Other-Survey (Rep Payees)	E-gov PE Survey Form - Representative Payees.doc	No	Paper Only
Other-Pre-Survey Notice (PE strata)	E-gov PE Survey Prenotice Letter - PE Strata.doc	No	Paper Only
Other-Survey (IVR Users)	E-gov PE Survey Form - Successful IVR Users.doc	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,700

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	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	3,700	0	0	0	0	0
Annual IC Time Burden (Hours)	925	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Description of Survey	Generic Clearance- E-Gov Postentitlement Survey Description.doc	09/18/2006

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