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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

IC Title:

Beneficiaries with Disabilities Telephone 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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.