Annual Statistical Supplement Print Subscriber Survey

The Social Security Administration is sending this survey to better gauge the needs of our customers who receive our print publications. Please take 5 minutes to complete our brief survey and return it in the enclosed, postage paid response envelope by April 30th. Thank you in advance for your time and cooperation.

1. Do you use the web version of the Annual Statistical Supplement to the Social Security Bulletin (http://www.ssa.gov/policy/docs/statcomps/supplement/index.html)?

□ Yes, move to question 2

□ No, skip to question 3

2. Which format do you prefer?

□ Print format

□ Web format

□ No preference

Briefly explain your choice:_____________________________________

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3. If the print version of the Annual Statistical Supplement to the Social Security Bulletin were discontinued, could you accomplish your tasks using the web version of the publication?

□ Yes

□ No, please explain below

___________________________________________________________

___________________________________________________________

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Paperwork Reduction Act Statement – This information collection, OMB Control Number 0960-0526 (Expiration Date August 2012), meets the requirements of 44 U.S.C. §3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 5 minutes to read the instructions, gather the facts, and answer the questions. You may send comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this address, not the completed form.