Survey of Applicants for Jobs at PBGC

Customer Service Focus Groups and Surveys

Documents and Forms

Document Name Document Type
Applicant Survey.docx Other-Survey
ABBREVIATED_SUPPORTING_STATEMENT.rev.docx Abbreviated Supporting Statement (revised) IC Document

Information Collection (IC) Details

IC Title:	Survey of Applicants for Jobs at PBGC	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			Applicant Survey.docx		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: 360	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	360	360
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Abbreviated Supporting Statement (revised)	ABBREVIATED_SUPPORTING_STATEMENT.rev.docx	07/15/2010

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