Information Collection

Follow-Up -- Control Group

IC 187991 under ICR 200901-0960-004 · OMB 0960-0726.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Final Follow-Up Questionnaire--Revised Version.doc	Other-Survey
Follow-Up Questionnaire Sections.doc Follow-Up Questionnaire -- Current Version	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-Survey			Final Follow-Up Questionnaire--Revised Version.doc		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,117

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,117	1,117
Annual IC Time Burden (Hours)	559	559
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Follow-Up Questionnaire -- Current Version	Follow-Up Questionnaire Sections.doc	05/06/2009

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