Information Collection

IRES--Appointed Representatives (CSA)

IC 188691 under ICR 200904-0960-002 · OMB 0960-0626.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0626 can be found here:

Documents and Forms

Document Name Document Type
CSA Screens -- 7-1-2009 (Appointed Representative).pdf Other-Internal Use Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	IRES--Appointed Representatives (CSA)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 401.45

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internal Use Screens			CSA Screens -- 7-1-2009 (Appointed Representative).pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 88,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	88,000	88,000
Annual IC Time Burden (Hours)	16,133	16,133
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.