Information Collection

Survey of Applicants for Jobs at PBGC

IC 193727 under ICR 200911-1212-005 · OMB 1212-0053.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Applicant Survey.docx	Other-Survey
ABBREVIATED_SUPPORTING_STATEMENT.rev.docx Abbreviated Supporting Statement (revised)	IC Document

IC Title:

Agency IC Tracking Number:

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			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 %

table that charts list of burden
	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

table that charts IC Documents
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.