Information Collection

AB Demo Project 12-Month Follow-Up Survey

IC 187688 under ICR 200812-0960-018 · OMB 0960-0747.

Documents and Forms

Document Name Document Type
AB Demo Twelve-Month Follow-Up Survey.doc Note: done though phone interview Other-Survey Script

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	AB Demo Project 12-Month Follow-Up Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Script			AB Demo Twelve-Month Follow-Up Survey.doc	Note: done though phone interview	No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,600	1,600
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.