Information Collection

1 Qualitative and 4 Quanatative Surveys

IC 198485 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⚠️ Notice: This information collection may be referencing outdated material.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
DICRC Survey Questionnaire and Correspondence.pdf	Other-Survey
Hearing Process Survey Questionnaire and Correspondence.pdf	Other-Survey
IRC Questionnaires and Correspondence.pdf	Other-Survey
OVS Questionnaire and Correspondence FY 2012.pdf	Other-Survey
Usability Testing Instrument.pdf	Other-survey
Description DICRC Survey FY 2012.docx Description - DICRC Survey FY 12	IC Document
Descrption Hearing Process Report Card Survey.docx Description - Hearing Process Survey FY 12	IC Document
Description Internet Report Card Survey FY 2012.docx Description - Internet Report Card Survey FY 12	IC Document
Description - Office Visitor Survey FY 2012.docx Description - Office Visitor Survey FY 12	IC Document
Description Usability Testing.docx Description Blanket Usability Testing	IC Document

IC Title:

1 Qualitative and 4 Quanatative Surveys

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Survey	DICRC Survey Questionnaire and Correspondence.pdf	No	Paper Only
Other-Survey	Hearing Process Survey Questionnaire and Correspondence.pdf	No	Paper Only
Other-Survey	IRC Questionnaires and Correspondence.pdf	No	Paper Only
Other-Survey	OVS Questionnaire and Correspondence FY 2012.pdf	No	Paper Only
Other-survey	Usability Testing Instrument.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: 92,690

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	92,690	92,690
Annual IC Time Burden (Hours)	11,123	11,123
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Description - DICRC Survey FY 12	Description DICRC Survey FY 2012.docx	07/13/2011
Description - Hearing Process Survey FY 12	Descrption Hearing Process Report Card Survey.docx	07/13/2011
Description - Internet Report Card Survey FY 12	Description Internet Report Card Survey FY 2012.docx	07/13/2011
Description - Office Visitor Survey FY 12	Description - Office Visitor Survey FY 2012.docx	07/13/2011
Description Blanket Usability Testing	Description Usability Testing.docx	07/27/2011

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