Information Collection

Two Generic Clearance Surveys

IC 191005 under ICR 200905-0960-012 · OMB 0960-0526.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0526 can be found here:

Documents and Forms

Document Name Document Type
FY 2010 WIPA Survey Questionnaire and Pre-Notice Letter.pdf Other-Survey
FY 2010 800 Number Caller Survey Questionnaire.pdf Other-Survey
FY 2010 WIPA Survey Description (f).doc Survey Description - Work Incentives Planning and Assistance (WIPA) Survey FY 2010 IC Document
FY 2010 800 Number Caller Survey Description.doc 800 Number Caller Survey FY 2010 Description IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Two Generic Clearance Surveys	Agency IC Tracking Number:

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			FY 2010 WIPA Survey Questionnaire and Pre-Notice Letter.pdf		No		Fillable Fileable
Other-Survey			FY 2010 800 Number Caller Survey Questionnaire.pdf		No		Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	1,750	1,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Survey Description - Work Incentives Planning and Assistance (WIPA) Survey FY 2010	FY 2010 WIPA Survey Description (f).doc	10/21/2009
800 Number Caller Survey FY 2010 Description	FY 2010 800 Number Caller Survey Description.doc	10/16/2009

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