Information Collection

Information Collection Plan for GovBenefits Online

IC 14747 under ICR 200812-1290-001 · OMB 1290-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1290-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1290-0003_GovBenefits-Questionaire(12-05-08).doc www.govbenefits.gov/govbenefits_en.portal	Other-decision tree

IC Title:

Information Collection Plan for GovBenefits Online

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-decision tree			1290-0003_GovBenefits-Questionaire(12-05-08).doc	http://www.govbenefits.gov/govbenefits_en.portal	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,345,715

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,345,715	-21,713	6,367,428
Annual IC Time Burden (Hours)	571,114	380,091	191,023
Annual IC Cost Burden (Dollars)	0	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.