Information Collection

Pilot Program for Participating in Administrative Law Judge Hearings by Using Privately Owned Video Teleconferencing (VTC) Equipment -- Expression of Interest Phase I & II

IC 45900 under ICR 200703-0960-006 · OMB 0960-0746.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Screening Script - Initial Expression of Interest VTC 09-25-06 F.doc Initial Expression of Interest / Screening Questions	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Pilot Program for Participating in Administrative Law Judge Hearings by Using Privately Owned Video Teleconferencing (VTC) Equipment -- Expression of Interest Phase I & II

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.936(c) 20 CFR 416.1436(c)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 200

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Initial Expression of Interest / Screening Questions	Screening Script - Initial Expression of Interest VTC 09-25-06 F.doc	09/25/2006

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