Information Collection

Direct Express Surveys

IC 189050 under ICR 200709-1510-001 · OMB 1510-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Direct Express Adoption Survey 3-20-09.doc	Instruction
Direct Express Retention Survey 3-20-09.doc	Instruction
DE Guide 4-02-09.doc	Instruction
Direct_Express_Screener_3-19-08[1].doc	Instruction
Suptng St Adoption n Retention Survey 3-09.docx DE Adoption and Retention Surveys	IC Document
DE Supporting Statement.docx DE Telephone Survey	IC Document

IC Title:

Direct Express Surveys

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?	Can Be Submitted Electronically?	Electronic Capability
Instruction	Direct Express Retention Survey 3-20-09.doc	Yes	No	Fillable Printable
Instruction	DE Guide 4-02-09.doc	Yes	No	Fillable Printable
Instruction	Direct_Express_Screener_3-19-08[1].doc	No		Paper Only
Instruction	Direct Express Adoption Survey 3-20-09.doc	Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 180

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	180	180
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DE Adoption and Retention Surveys	Suptng St Adoption n Retention Survey 3-09.docx	05/06/2009
DE Telephone Survey	DE Supporting Statement.docx	05/06/2009

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