Information Collection

Early Use Survey

IC 180020 under ICR 200803-0960-021 · OMB 0960-0747.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0747 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix F.doc	Other-Advance Letter - Early-Use Sur
Appendix E.pdf NOTE: Completed by interviewer	Other-Survey Script (Early-Use Surve

IC Title:

Early Use Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Advance Letter - Early-Use Survey			Appendix F.doc		No		Paper Only
Other-Survey Script (Early-Use Survey)			Appendix E.pdf	NOTE: Completed by interviewer	No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 480

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	Previously Approved
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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