Senior Benefits Recipient Survey

Electronic Funds Transfer (EFT) Market Research Study

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1510-0074 can be found here:

Documents and Forms

Document Name Document Type
Sr Media Poll Surv ER.doc Other-Survey
OMB Supp St Sr Media Poll Surv ER.doc Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Senior Benefits Recipient Survey	Agency IC Tracking Number:	1510-0074

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			Sr Media Poll Surv ER.doc		No		Paper Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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	1,000	1,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	OMB Supp St Sr Media Poll Surv ER.doc	05/05/2011

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