Information Collection

Beneficiaries with Disabilities Telephone Survey

IC 197937 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Interview Guide and Survey Documents.pdf Other-survey
Decription - Beneficiaries with Disabilities Survey.docx Description - Beneficiaries with Disabilities Phone Survey IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Beneficiaries with Disabilities Telephone Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			Interview Guide and Survey Documents.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 140	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	140	140
Annual IC Time Burden (Hours)	128	128
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Description - Beneficiaries with Disabilities Phone Survey	Decription - Beneficiaries with Disabilities Survey.docx	06/02/2011

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