Information Collection

Two Generic Clearance Surveys

IC 191005 under ICR 201003-0960-008 · OMB 0960-0526.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0526 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FY 2010 WIPA Survey Questionnaire and Pre-Notice Letter.pdf	Other-Survey
FY 2010 800 Number Caller Survey Questionnaire.pdf	Other-Survey
FY 2010 WIPA Survey Description (f).doc Survey Description - Work Incentives Planning and Assistance (WIPA) Survey FY 2010	IC Document
FY 2010 800 Number Caller Survey Description.doc 800 Number Caller Survey FY 2010 Description	IC Document

IC Title:

Two Generic Clearance Surveys

Agency IC Tracking Number:

IC Status: Unchanged

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			FY 2010 WIPA Survey Questionnaire and Pre-Notice Letter.pdf		No		Fillable Fileable
Other-Survey			FY 2010 800 Number Caller Survey Questionnaire.pdf		No		Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	7,000	7,000
Annual IC Time Burden (Hours)	1,750	1,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey Description - Work Incentives Planning and Assistance (WIPA) Survey FY 2010	FY 2010 WIPA Survey Description (f).doc	10/21/2009
800 Number Caller Survey FY 2010 Description	FY 2010 800 Number Caller Survey Description.doc	10/16/2009

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