Information Collection

Direct Express Cardholder Usage Survey, SSA&SSI Check Recipient Survey and Pre-Retiree Survey

IC 193070 under ICR 200911-1510-005 · OMB 1510-0074.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0074 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Direct Express Usage Survey 2010 v052010 er.doc	Other-Telephone Interview
NPRM Check Recipient Survey 2010 v3 5-18-10 er.doc	Other-Telephone Interview
Pre-Retiree NPRM Survey 2010 v3 5-19-10 er.doc	Other-Telephone Interview
OMB Supporting St 2010 Cardholder Usage Svy er.doc Supporting Statement-Direct Express CardholderUsage Survey	IC Document
OMB Supporting Statement NPRM 2010.doc Supporting Statement-SSA&SSI Check Recipient Survey	IC Document
OMB Supporting Statement NPRM 2010.doc Supporting Statement- Pre-Retiree Survey	IC Document

IC Title:

Direct Express Cardholder Usage Survey, SSA&SSI Check Recipient Survey and Pre-Retiree Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Telephone Interview	Direct Express Usage Survey 2010 v052010 er.doc	No	Paper Only
Other-Telephone Interview	NPRM Check Recipient Survey 2010 v3 5-18-10 er.doc	No	Paper Only
Other-Telephone Interview	Pre-Retiree NPRM Survey 2010 v3 5-19-10 er.doc	No	Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,700

Number of Respondents for Small Entity: 2,700

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,700	2,700
Annual IC Time Burden (Hours)	675	675
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement-Direct Express CardholderUsage Survey	OMB Supporting St 2010 Cardholder Usage Svy er.doc	05/28/2010
Supporting Statement-SSA&SSI Check Recipient Survey	OMB Supporting Statement NPRM 2010.doc	05/28/2010
Supporting Statement- Pre-Retiree Survey	OMB Supporting Statement NPRM 2010.doc	05/28/2010

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