OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

National Beneficiary Survey -- National Beneficiary Sample

IC 9716 under ICR 200912-0960-004 · OMB 0960-0666.

Documents and Forms
Document Name
Document Type
Other-Advance Letter to Participants
Other-Pre-Survey Screener
Other-Survey Script
Information Collection (IC) Details

View Information Collection (IC)

National Beneficiary Survey -- National Beneficiary Sample
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Advance Letter to Participants Advance Letter.doc No response required; just needs to be read by participant No   Paper Only
Other-Pre-Survey Screener Proxy Screener.doc Note: Participant does not need to complete; read by contractor No   Paper Only
Other-Survey Script National Beneficiary Survey (parts used for ticket participant sample as well).doc Note: Participant does not need to complete; read by contractor No   Paper Only

Income Security General Retirement and Disability

 

2,400 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,400 0 2,400 0 0 0
Annual IC Time Burden (Hours) 1,800 0 1,800 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.